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NPI 1437755147 Active Obstetrics & Gynecology

Quick Facts

NPI Number

1437755147

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2020-12-08

Last Updated (NPPES)

2022-01-17

Primary Specialty / Taxonomy

Taxonomy	Obstetrics & Gynecology
Taxonomy Code	`207V00000X`

Other Taxonomies

Family Medicine
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery
Clinic/Center, Research

Practice Address

10260 191ST ST STE 100
MOKENA, IL 604488802

Phone: 708-572-7669

Fax: 708-469-4358

Mailing Address

9730 S WESTERN AVE STE 700
EVERGREEN PARK, IL 608052814

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.