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GYNECOLOGICAL CANCER INSTITUTE OF CHICAGO LLC NPI 1114318474


NPI Information

NPI: 1114318474
Provider Name: GYNECOLOGICAL CANCER INSTITUTE OF CHICAGO, LLC
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

CLIA Number: 14D2092366

Address:
6700 W 95TH ST STE 330
OAK LAWN, IL
ZIP 60453
Phone: (708) 422-3242
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GYNECOLOGICAL CANCER INSTITUTE OF CHICAGO, LLC is a gynecologic oncology obstetrics gynecology in Oak Lawn, IL. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. GYNECOLOGICAL CANCER INSTITUTE OF CHICAGO, LLC NPI is 1114318474. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6700 W 95TH ST STE 330
OAK LAWN, IL
ZIP 60453-416
Phone: (708) 422-3242
Fax: (708) 422-3243

The provider's authorized official is Alfred S Guirguis .
The authorized official title is Proprietor and has the following contact phone number (630) 347-0595.

The CLIA number assigned to this NPI record is 14D2092366 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2015 and was last updated on 7/10/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0201XObstetrics & GynecologyGynecologic Oncology036108495ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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