Organization
ILLINOIS INSTITUTE OF GYNECOLOGY AND ADVANCED PELVIC SURGERY, SC
Active
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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