| NPI | 1962491472 |
|---|---|
| Former Legal Business Name | PARKSIDE OBSTETRICS GYNCEOLOGY & INFERTILITY SC |
| Entity Type | Organization |
| Authorized Contact | ROBERT G. KOSS President 847-825-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2019-12-04 |