GYNECOLOGIC SPECIALISTS OF NORTHWESTERN S.C. NPI 1013014042

NPI Information

GYNECOLOGIC SPECIALISTS OF NORTHWESTERN, S.C. is a gynecology obstetrics gynecology in Chicago, IL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee GYNECOLOGIC SPECIALISTS OF NORTHWESTERN, S.C. NPI is 1013014042. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Obstetric And Gynocologic Specialists Of Northwestern S.c..

The provider's business location address is:

680 N LAKE SHORE DR
SUITE117
CHICAGO, IL
ZIP 60611-546
Phone: (312) 654-1166
Fax: (312) 654-5288

The provider's authorized official is Jane E Blumenthal .
The authorized official title is Owner/treasurer and has the following contact phone number (312) 654-1166.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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