| Gynecologic Specialists Of Northwestern, S.c. | |
|
680 N Lake Shore Dr Suite117 Chicago IL 60611-4546 | |
| (312) 654-1166 | |
| (312) 654-5288 |
| Full Name | Gynecologic Specialists Of Northwestern, S.c. |
|---|---|
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 680 N Lake Shore Dr, Chicago, Illinois |
| Authorized Official Name and Position | Jane E Blumenthal (OWNER/TREASURER) |
| Authorized Official Contact | 3126541166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gynecologic Specialists Of Northwestern, S.c. 190 E Delaware Pl Chicago IL 60611-1814 Ph: (312) 654-5292 | Gynecologic Specialists Of Northwestern, S.c. 680 N Lake Shore Dr Suite117 Chicago IL 60611-4546 Ph: (312) 654-1166 |
| NPI Number | 1013014042 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 03/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013014042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Primary |
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