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ASSOCIATES IN OB-GYN SC NPI 1417954439


NPI Information

NPI: 1417954439
Provider Name: ASSOCIATES IN OB-GYN SC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 14D1025531

Address:
1875 DEMPSTER ST
SUITE 360
PARK RIDGE, IL
ZIP 60068
Phone: (847) 825-7030
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ASSOCIATES IN OB-GYN SC is an obstetrics gynecology in Park Ridge, 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. ASSOCIATES IN OB-GYN SC NPI is 1417954439. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1875 DEMPSTER ST
SUITE 360
PARK RIDGE, IL
ZIP 60068-186
Phone: (847) 825-7030
Fax: (847) 825-7047

The provider's authorized official is Maureen H Carson .
The authorized official title is Owner and has the following contact phone number (847) 825-7030.

The CLIA number assigned to this NPI record is 14D1025531 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/5/2005 and was last updated on 9/22/2014.


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 & GynecologyYes

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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