| NPI | 1700194339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREEN AMBROSE M.D. 708-460-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-059550) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2011-04-01 |