Organization
SOUTHWEST OBSTETRICS AND GYNECOLOGY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M PAVESE M.D. (PRESIDENT)
(708) 423-2300
Entity
Organization
Contact information
Practice address
4225 W 95TH ST, OAK LAWN, IL 60453-2623
(708) 423-2300
(708) 423-2318
Mailing address
4225 W 95TH ST, OAK LAWN, IL 60453-2623
(708) 423-2300
(708) 423-2318
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042002689
IL
Other
Enumeration date
11/03/2006
Last updated
09/25/2008
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