| NPI | 1902241524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY K PALMORE Owner 773-731-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036061973) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |