| NPI | 1871757161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE L JOHNSON President 847-309-6885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036071673) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |