| NPI | 1922443688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAREK PIEKOS Owner 815-730-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: IL 036084420) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |