| NPI | 1669498648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WALZAK Office Manager 847-437-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036086690) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-05-07 |