Organization
OAK PARK WOMENS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TATENISHA GARDLEY (OWNER)
(708) 434-4075
Entity
Organization
Contact information
Practice address
1010 LAKE ST, OAK PARK, IL 60301-1147
(708) 434-4075
Mailing address
1010 LAKE ST, OAK PARK, IL 60301-1147
(708) 434-4075
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
209.012152
IL
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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