| NPI | 1992913669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE SOMERS Office Manager 618-998-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036092541) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |