Organization
NORTHWESTERN OBSTETRICS AND GYNECOLOGY CONSULTANTS, LLC
Active
Parent organization
NORTHWESTERN OBSTETRICS AND GYNECOLOGY CONSULTANTS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWESTERN OBSTETRICS AND GYNECOLOGY CONSULTANTS, LLC
Authorized official
TERRY WAITE (OFFICE MANAGER)
(312) 642-9844
Entity
Organization
Contact information
Practice address
1535 LAKE COOK ROAD, SUITE 604, NORTHBROOK, IL 60062
(312) 642-9844
(312) 642-7637
Mailing address
676 N SAINT CLAIR ST, #1880, CHICAGO, IL 60611-2927
(312) 642-9844
(312) 642-7637
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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