Organization
ST. FRANCIS HOSPITAL OB/GYN PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND WILLIBY JR. M.D. (OB/GYN RESIDENT)
(847) 316-6229
Entity
Organization
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202
(847) 316-6229
Mailing address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-6229
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125052125
IL
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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