# FREMONT FERTILITY PARTNERS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CCRM Fertility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518799972
- **Authorized official:** MATT TYSON (DIRECTOR, MANAGED CARE CONTRACTING)
- **Authorized official phone:** (615) 477-6677

## Contact information

- **Practice address:** 225 W WACKER DR STE 800, CHICAGO, IL 60606-1260
- **Practice address phone:** (303) 968-1950
- **Mailing address:** 225 W WACKER DR STE 800, CHICAGO, IL 60606-1260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2024
- **Last updated:** 07/10/2026