| NPI | 1619465051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MOREIRA Owner 312-404-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036125912) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 03061346) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-11-15 |