MATERNAL AND CHILD MEDICAL CARE S.C NPI 1912203209

NPI Information

  • NPI: 1912203209
  • Provider Name: MATERNAL AND CHILD MEDICAL CARE, S.C
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 2055 W ARMY TRAIL RD
    SUITE 104
    ADDISON, IL
    ZIP 60101
  • Phone: (847) 650-1452

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NPI Details

MATERNAL AND CHILD MEDICAL CARE, S.C is an obstetrics gynecology in Addison, 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. MATERNAL AND CHILD MEDICAL CARE, S.C NPI is 1912203209. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2055 W ARMY TRAIL RD
SUITE 104
ADDISON, IL
ZIP 60101-478
Phone: (847) 650-1452
Fax: (224) 535-7260

The provider's authorized official is Orawan Sukavachana .
The authorized official title is President/ceo and has the following contact phone number (847) 650-1452.

The enumeration date for this NPI number is 2/3/2011 and was last updated on 2/3/2011.

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
1208000000XPediatricsNo
2207V00000XObstetrics & 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: 3/30/2025

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