| NPI | 1679975221 |
|---|---|
| Doing Business As | SMG ST JUDE |
| Entity Type | Organization |
| Authorized Contact | JOHN VAZQUEZ Cmo 773-257-6850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |