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BRAVO & SAN JUAN SC NPI 1376634675


NPI Information

NPI: 1376634675
Provider Name: BRAVO & SAN JUAN SC

Former Legal Business Name: ANTONIO BRAVO MD, SC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1200 S YORK RD
SUITE 4120
ELMHURST, IL
ZIP 60126
Phone: (630) 833-1666
Get Directions

BRAVO & SAN JUAN SC is an obstetrics gynecology in Elmhurst, 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. BRAVO & SAN JUAN SC NPI is 1376634675. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Antonio Bravo Md, Sc.

The provider's business location address is:

1200 S YORK RD
SUITE 4120
ELMHURST, IL
ZIP 60126-630
Phone: (630) 833-1666
Fax: (630) 833-1690

The provider's authorized official is Miriam B Miller .
The authorized official title is Office Manager and has the following contact phone number (630) 758-8610.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 5/15/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyILLINOISYes

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: 5/5/2024

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