Bravo & San Juan Sc

NPI 1376634675 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1376634675
Enumeration Date 09/28/2006
Last Updated 05/15/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MIRIAM B MIRIAM
Position OFFICE MANAGER
Phone (630) 833-1666
Fax (630) 833-1690
Practice Location
1200 S YORK RD
SUITE 4120
ELMHURST IL, 60126-5630, US
Phone (630) 833-1666
Fax (630) 833-1690
Business Location
1200 S YORK RD
SUITE 4120
ELMHURST IL, 60126-5630, US
Phone (630) 833-1666
Fax (630) 833-1690
Toxanomy
Taxonomy Code 207V00000X
License State
License Number
Remove 1376634675 NPI Number
 

According to our database, Bravo & San Juan Sc NPI is 1376634675, taxonomy code is 207V00000X Bravo & San Juan Sc physically located at 1200 S York Rd, Elmhurst IL, 60126-5630. NPI Number 1033115704 has the healthcare provider type.

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1376634675 NPI number is provided on an as is basis without warranty of any kind. 1376634675 is maintained by the National Plan & Provider Enumeration System. The contents of Bravo & San Juan Sc are for informational purposes only.