is a Obstetrics & Gynecology in Chicago, Illinois. practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for is 1104083070. The last update date is .
's current location address is 2734 N Lincoln Ave, Chicago, Illinois. You can contact this provider via phone number 7735257720 and fax number 7735259199. The mailing address for is 2734 N Lincoln Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2734 N Lincoln Ave, Chicago, Illinois |
| Phone Number | 7735257720 |
| Fax Number | 7735259199 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104083070 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2734 N Lincoln Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606141321 |
| Phone Number | 7735257720 |
| Fax Number | 7735259199 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
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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 |
|---|---|---|---|
| D 5245-919-2 | IL | CORPORATION FILE# ILLINOIS |
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