| NPI | 1699985325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUE MCGINNIS Practice Manager 312-751-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |