| NPI | 1962488262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY GORDON DAVIS Obstetrician Gynecologist 847-884-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036061440) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-08-22 |