| NPI | 1770816357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI K TRIVEDI President 847-755-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036059972) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |