NPIRadar

Kelly Ed Jirschele, DO Valid NPI

Individual provider · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Park Ridge, IL

NPI
1760718548
Type
Individual (Type 1)
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (Obstetrics & Gynecology)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207VF0040X
License number
036124537 (IL)
Sex
Female
Sole proprietor
No
Enumerated
2009-10-28
Last updated
2018-08-08
Practice location
1875 Dempster St Ste 665
Park Ridge, IL 60068
(847) 825-1590

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