OBSTETRICS AND GYNECOLOGY CARE ASSOCIATES S.C. NPI 1932292521

NPI Information

OBSTETRICS AND GYNECOLOGY CARE ASSOCIATES, S.C. 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. OBSTETRICS AND GYNECOLOGY CARE ASSOCIATES, S.C. NPI is 1932292521. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1414 WOODBINE RD
BLOOMINGTON, IL
ZIP 61704-817
Phone: (309) 662-2273
Fax: (309) 662-2014

The provider's authorized official is Santiago Joseph .
The authorized official title is Owner and has the following contact phone number (309) 662-2273.

The CLIA number assigned to this NPI record is 14D0432272 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/2/2006 and was last updated on 4/11/2018.

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:

Other Identifiers

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