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Organization
FABIO ORTEGA MD SC
Active
Organization
FABIO ORTEGA MD SC
Active
Other names
FABIO ORTEGA MD SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FABIO ORTEGA MD (PRESIDENT)
(847) 679-3200
Entity
Organization
Contact information
Practice address
9933 LAWLER AVE, SUITE 409, SKOKIE, IL 60077
(847) 679-3200
(847) 679-4631
Mailing address
9933 LAWLER AVE, SUITE 409, SKOKIE, IL 60077
(847) 679-3200
(847) 679-4631
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036065413
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
336029781
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065413
—
IL
01
—
31601691
BCBS OF ILLINOIS
IL
Enumeration date
10/07/2008
Last updated
03/25/2009
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