Ob Practice, LLC

NPI #1770946204 in Shiloh, Illinois

Provider Information

NPI Number: 1770946204
Entity Type: Organization
Organization Name: Ob Practice, LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Apr 1, 2016
Last Updated: Apr 28, 2016

Practice Location

Address: 1404 CROSS ST
Address 2: THIRD FLOOR SUITE 3181
City: Shiloh
State: Illinois
ZIP Code: 62269-2988
Phone: (618) 257-4644

Authorized Official

Name: JAMES B DAVIS
Title: EXECUTIVE DIRECTOR
Phone: (618) 257-4644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Gynecology — Gynecology	207VG0400X
Obstetrics & Gynecology - Obstetrics — Obstetrics	207VX0000X
Obstetrics & Gynecology	207V00000X	Primary

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