| NPI | 1639203516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E. MILLER Physician 847-593-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-20 |