| NPI | 1942464789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM OBRIEN Billing Mgr 815-463-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036047844) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |