Organization
OBSTETRICS & GYNECOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN PENDL (ACCOUNT MANAGER)
(312) 440-1600
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 830, CHICAGO, IL 60611-4546
(312) 440-1600
(312) 440-3508
Mailing address
680 N LAKE SHORE DR, SUITE 830, CHICAGO, IL 60611-4546
(312) 440-1600
(312) 440-3508
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
060003474
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01617247
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/22/2007
Last updated
10/29/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us