Ob Gyn Care Llc in O Fallon - Obstetrics & Gynecology
Ob Gyn Care Llc - NPI 1790945103
Ob Gyn Care Llc is a Obstetrics & Gynecology in O Fallon, Illinois. Ob Gyn Care Llc practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Ob Gyn Care Llc is 1790945103. The last update date is 2008-06-10.
Ob Gyn Care Llc's current location address is 1512 N Green Mount Rd, O Fallon, Illinois. You can contact this provider via phone number 6186281717 and fax number 6186281789. The mailing address for Ob Gyn Care Llc is 1512 N Green Mount Rd, O Fallon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ob Gyn Care Llc |
|---|---|
| Address | 1512 N Green Mount Rd, O Fallon, Illinois |
| Phone Number | 6186281717 |
| Fax Number | 6186281789 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Tissier J Bradley |
| Credentials | MD |
| Telephone Number | 6186281717 |
NPI Number Detail
| NPI Number | 1790945103 |
|---|---|
| Provider Enumeration Date | 2008-06-10 |
| Last Updated Date | 2008-06-10 |
Provider Mailing Address Detail
| Address | 1512 N Green Mount Rd |
|---|---|
| City | O Fallon |
| State | Illinois (IL) |
| Post Code | 622691953 |
| Phone Number | 6186281717 |
| Fax Number | 6186281789 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 36097979 |
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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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What is the unique 10-digit identifier code issued to Ob Gyn Care Llc by the Centers for Medicare & Medicaid Services?
The Ob Gyn Care Llc has been assigned the NPI (National Provider Identifier) 1790945103 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Ob Gyn Care Llc located?
The Ob Gyn Care Llc is located at 1512 N Green Mount Rd, O Fallon, IL 622691953.
What is Ob Gyn Care Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ob Gyn Care Llc's area of specialization is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this field of practice is 207V00000X.
On what date did the Ob Gyn Care Llc receive the assignment of its 1790945103 from the Centers for Medicare & Medicaid Services?
The Ob Gyn Care Llc was issued its 1790945103 by the Centers for Medicare & Medicaid Services on 2008-06-10.
As of what date was the information pertaining to Ob Gyn Care Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ob Gyn Care Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-10.