Organization
ASSOCIATES IN OBSTETRICS & GYNECOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CHOW DO (PRESIDENT)
(309) 663-0411
Entity
Organization
Contact information
Practice address
2304 STERN DR, BLOOMINGTON, IL 61704-4406
(309) 663-0411
(309) 662-2018
Mailing address
2304 STERN DR, BLOOMINGTON, IL 61704-4406
(309) 663-0411
(309) 662-2018
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5700239
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/14/2006
Last updated
08/22/2020
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