| NPI | 1659616142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A COTHRAN Owner/Provider 312-203-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 36.091412) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2014-03-26 |