Organization
PRM GYNECOLOGY OF ILLINOIS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE MARIE LAGNESE (DIRECTOR OF REVENUE CYCLE)
(561) 422-4206
Entity
Organization
Contact information
Practice address
625 N MICHIGAN AVE STE 1810, CHICAGO, IL 60611-4592
(872) 310-3920
Mailing address
2090 PALM BEACH LAKES BLVD STE 700, WEST PALM BEACH, FL 33409-6508
(561) 422-4206
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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