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Organization
NORTHWESTERN OBSTETRICS AND GYNECOLOGY CONSULTANTS, LLC
Active
Organization
NORTHWESTERN OBSTETRICS AND GYNECOLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY WAITE (OFFICE MANAGER)
(312) 642-9844
Entity
Organization
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 1880, CHICAGO, IL 60611-2927
(312) 642-9844
(312) 642-7637
Mailing address
676 N SAINT CLAIR ST, SUITE 1880, CHICAGO, IL 60611-2927
(312) 642-9844
(312) 642-7637
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
05/17/2012
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