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CONTEMPORARY OBSTETRICS & GYNECOLOGY PC NPI 1164616389


NPI Information

NPI: 1164616389
Provider Name: CONTEMPORARY OBSTETRICS & GYNECOLOGY PC

Other Name: CONTEMPORARY OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
2304 STERN DR
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 663-0411
Get Directions

CONTEMPORARY OBSTETRICS & GYNECOLOGY PC is an obstetrics gynecology in Bloomington, IL. The provider is 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 a primary physician for women. CONTEMPORARY OBSTETRICS & GYNECOLOGY PC NPI is 1164616389. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Contemporary Ob/gyn.

The provider's business location address is:

2304 STERN DR
BLOOMINGTON, IL
ZIP 61704-487
Phone: (309) 663-0411
Fax: (309) 662-2018

The provider's authorized official is Heather L Dudley .
The authorized official title is President and has the following contact phone number (309) 663-0411.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 3/18/2008.


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
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15732148OTHERILLINOISBCBS GROUP
2216064OTHERILLINOISMEDICARE GROUP

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: 11/14/2023

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