| NPI | 1912164351 |
|---|---|
| Other Name | FULLERTON ALBANY WOMENS CLINIC |
| Entity Type | Organization |
| Authorized Contact | LETICIA FLORES CLARIDAD Physician 773-252-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036077152) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-10-14 |