| NPI | 1619962859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BAUMGART Owner 815-758-8621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2022-07-21 |