# MIDWEST PERINATAL CONSULTANTS, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396014288
- **Authorized official:** ANITA MANOGURA MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (224) 783-8975

## Contact information

- **Practice address:** 1425 N RANDALL RD, SHERMAN HOSP, SUITE 1-2150, ELGIN, IL 60123-2300
- **Practice address phone:** (224) 783-8975
- **Mailing address:** PO BOX 743, ELGI, IL 60121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 12/21/2011
- **Last updated:** 12/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1124176987 | INDIVIDUAL NPI | — |