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Organization
SUBURBAN WOMENS HEALTH SPECIALISTS LTD
Active
Organization
SUBURBAN WOMENS HEALTH SPECIALISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN GRAY (PRACTICE MANAGER)
(847) 931-4747
Entity
Organization
Contact information
Practice address
2350 ROYAL BLVD, SUITE 600, ELGIN, IL 60123-4719
(847) 931-4747
(847) 931-9602
Mailing address
2350 ROYAL BLVD, SUITE 600, ELGIN, IL 60123-4719
(847) 931-4747
(847) 931-9602
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042007882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064786
—
IL
05
—
036093466
—
IL
Enumeration date
01/24/2007
Last updated
12/21/2021
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