| NPI | 1568569754 |
|---|---|
| Former Legal Business Name | GABRIEL PEDIATRICS, S.C. |
| Entity Type | Organization |
| Authorized Contact | FAYE C. MASTER Co Owner 847-623-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036046907) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-07-09 |