Organization
OAK PARK WOMENS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATENISHA GARDLEY (OWNER)
(708) 434-4075
Entity
Organization
Contact information
Practice address
1010 LAKE ST, SUITE 507, OAK PARK, IL 60301-1147
(708) 434-4075
(708) 434-4079
Mailing address
1010 LAKE ST, SUITE 507, OAK PARK, IL 60301-1147
(708) 434-4075
(708) 434-4079
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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