Western Dupage Obstetrics & Gynecology Sc

NPI #1609921170 in Woodridge, Illinois

Provider Information

NPI Number: 1609921170
Entity Type: Organization
Organization Name: Western Dupage Obstetrics & Gynecology Sc
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jan 24, 2007
Last Updated: Dec 20, 2021

Practice Location

Address: 3540 SEVEN BRIDGES DR STE 200
City: Woodridge
State: Illinois
ZIP Code: 60517-1222
Phone: (630) 810-0777

Authorized Official

Name: DR. GEORGE A BANUELOS, MD
Title: MEDICAL DOCTOR/PRESIDENT
Phone: (630) 810-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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