Suburban Gynecology, Llc in Joliet - Obstetrics & Gynecology
Suburban Gynecology, Llc - NPI 1063602217
Suburban Gynecology, Llc is a Obstetrics & Gynecology in Joliet, Illinois. Suburban Gynecology, Llc practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Suburban Gynecology, Llc is 1063602217. The last update date is 2012-02-08.
Suburban Gynecology, Llc's current location address is 1301 Copperfield Avenue, Joliet, Illinois. You can contact this provider via phone number 8157277515 and fax number 8157275147. The mailing address for Suburban Gynecology, Llc is 1301 Copperfield Avenue, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Suburban Gynecology, Llc |
|---|---|
| Address | 1301 Copperfield Avenue, Joliet, Illinois |
| Phone Number | 8157277515 |
| Fax Number | 8157275147 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER |
|---|---|
| Authorized Official Name | Merhi Nahla |
| Credentials | MD |
| Telephone Number | 8156851971 |
NPI Number Detail
| NPI Number | 1063602217 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2012-02-08 |
Provider Mailing Address Detail
| Address | 1301 Copperfield Avenue |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604322004 |
| Phone Number | 8157277515 |
| Fax Number | 8157275147 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 36107262 |
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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 |
|---|---|---|---|
| 14D1089841 | IL | CLIA | |
| 36107262 | IL | -- |
Post Comment/ Review Below
What is the Suburban Gynecology, Llc's unique identification number?
The Suburban Gynecology, Llc has been assigned the NPI (National Provider Identifier) Number 1063602217 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Suburban Gynecology, Llc?
The Suburban Gynecology, Llc is situated at 1301 Copperfield Avenue, in the city of Joliet, state of IL, with the zip code 604322004.
What is Suburban Gynecology, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Suburban Gynecology, Llc is Obstetrics & Gynecology, and the corresponding taxonomy classification code for this specialized field is 207V00000X.
On what date did the Suburban Gynecology, Llc receive the assignment of its 1063602217 from the Centers for Medicare & Medicaid Services?
The Suburban Gynecology, Llc was issued its 1063602217 by the Centers for Medicare & Medicaid Services on 2007-07-25.
As of what date was the information regarding Suburban Gynecology, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Suburban Gynecology, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-02-08.