| NPI | 1679652523 |
|---|---|
| Former Legal Business Name | MIDWEST WOMEN OB/GYN |
| Entity Type | Organization |
| Authorized Contact | SHAMITA BANSORE Physician/Owner 630-852-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2022-01-31 |