WILL COUNTY OB GYN LTD NPI 1962604983

NPI Information

WILL COUNTY OB GYN LTD is a specialist in Joliet, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WILL COUNTY OB GYN LTD NPI is 1962604983. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1114 N LARKIN AVE
JOLIET, IL
ZIP 60435-435
Phone: (815) 725-6188
Fax: (815) 741-1541

The provider's authorized official is Amin Khater .
The authorized official title is Owner and has the following contact phone number (815) 725-6188.

The CLIA number assigned to this NPI record is 14D1014140 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 6/4/2010.

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

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

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