NPI 1376634675

Bravo & San Juan Sc

Organisation Obstetrics & Gynecology Physician Elmhurst, IL

Practice location

Address: 1200 S York Rd Suite 4120, Elmhurst, IL 60126-5630
Phone: (630) 833-1666
Fax: (630) 833-1690

Authorised official

Name: Miriam B Miller
Title: Office Manager
Phone: (630) 758-8610

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Illinois →

Registry record

NPI: 1376634675
Entity type: Organization
NPI issued: 28 Sep 2006
Record last updated: 15 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.