| NPI | 1841405396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA L RICHARD President / Owner 312-567-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036039723) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-01-30 |