| NPI | 1538434600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J PESVENTO President 847-382-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036065375) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |