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Organization

GYNECOLOGIC SPECIALISTS OF NORTHWESTERN, S.C.

Active
Other names
Obstetric and Gynocologic Specialists of Northwestern S.C.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANE E BLUMENTHAL MD (OWNER/TREASURER)
(312) 654-1166
Entity
Organization

Contact information

Practice address
680 N LAKE SHORE DR, SUITE117, CHICAGO, IL 60611-4546
(312) 654-1166
(312) 654-5288
Mailing address
190 E DELAWARE PL, CHICAGO, IL 60611-1814
(312) 654-5292
(312) 654-5588

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207VG0400X
Gynecology Physician
Primary

Other

Enumeration date
09/20/2006
Last updated
03/04/2013
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