Organization
ILLINOIS INSTITUTE OF GYNECOLOGY AND ADVANCED PELVIC SURGERY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN ADAM ADAJAR M.D. (PRESIDENT)
(773) 428-0624
Entity
Organization
Contact information
Practice address
1351 W BELMONT AVE, CHICAGO, IL 60657-7195
(312) 785-8881
(312) 956-2733
Mailing address
1351 W BELMONT AVE, CHICAGO, IL 60657-7195
(312) 785-8881
(312) 956-2733
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036124772
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730318148
PROVIDER NPI NUMBER
IL
Enumeration date
11/28/2014
Last updated
01/14/2016
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