| NPI | 1780739698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN GRAY Practice Manager 847-931-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 042007882) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-12-21 |