| NPI | 1740289354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J FUREY President, Boonslick Med.Group Inc 708-352-4630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 042618552) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2020-08-22 |