| NPI | 1780662585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILONA MARIE CARLOS President 773-871-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036101641) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2008-04-09 |