| NPI | 1801910120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL E MONROE President 708-868-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2019-01-03 |