| NPI | 1548232234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDELSTEIN Owner 618-288-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036065282) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2007-10-17 |