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 |