is a Obstetrics & Gynecology in Chicago, Illinois. practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for is 1689625246. The last update date is .
's current location address is 680 N Lake Shore Dr, Chicago, Illinois. You can contact this provider via phone number 3124401600 and fax number 3124403508. The mailing address for is 680 N Lake Shore Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 680 N Lake Shore Dr, Chicago, Illinois |
| Phone Number | 3124401600 |
| Fax Number | 3124403508 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1689625246 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 680 N Lake Shore Dr |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606114546 |
| Phone Number | 3124401600 |
| Fax Number | 3124403508 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 36057210 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1617247 | IL | BLUE CROSS BLUE SHIELD ID | |
| 363182892 | IL | TAX ID# |
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