NPI | 1801088067 |
---|---|
Entity Type | Organization |
Authorized Contact | JAY-JAMES MILLER Medical Director 309-665-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 042619085) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2007-08-13 |