Organization
M & A OB-GYN ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M MATTHEW AHRANJANI MD (PRESIDENT)
(773) 282-5299
Entity
Organization
Contact information
Practice address
5600 W ADDISON ST, SUITE 503, CHICAGO, IL 60634-4401
(773) 282-5299
(773) 282-5504
Mailing address
5600 W ADDISON ST, SUITE 503, CHICAGO, IL 60634-4401
(773) 282-5299
(773) 282-5504
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01627922
BCBS
IL
01
—
14D0930527
CLIA
IL
01
—
DQ2132
RAILROAD MEDICARE
IL
Enumeration date
07/09/2006
Last updated
01/27/2011
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