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Organization
CHICAGO METROPOLITAN OBSTETRICIANS & GYNECOLOGISTS, LTD
Active
Organization
CHICAGO METROPOLITAN OBSTETRICIANS & GYNECOLOGISTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST A. HAYES M.D. (PRESIDENT/CEO)
(708) 333-3030
Entity
Organization
Contact information
Practice address
15620 S. WOOD STREET, HARVEY, IL 60426-4171
(708) 333-3030
(708) 333-7453
Mailing address
PO BOX 4685, CHICAGO, IL 60680-4685
(708) 333-3030
(708) 333-7453
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036043976
IL
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630253
BLUE CROSS BLUE SHIELD
IL
05
—
036043976
—
IL
05
—
036100768 JAMES
—
IL
05
—
036110499 REDHEAD
—
IL
01
—
1306913454
CMOB NPI NUMBER
IL
01
—
1447283445
NPI NUMBER REDHEAD
IL
01
—
1659385128
NPI NUMBER JAMES
IL
01
—
207V00000X
PROVIDERS TAXONOMIES
IL
01
—
212568
MEDICARE GROUP PIN
IL
Enumeration date
11/30/2006
Last updated
05/20/2013
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