Organization
GYNECOLOGIC SPECIALISTS OF NORTHWESTERN, S.C.
Active
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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