Organization
OB-GYNE ASSOCIATES OF LIBERTYVILLE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANNVEIG MIDDLETON MD (MD)
(847) 680-3400
Entity
Organization
Contact information
Practice address
801 S MILWAUKEE AVENUE, STE 100, LIBERTYVILLE, IL 60048
(847) 680-3400
(847) 680-3486
Mailing address
801 S MILWAUKEE AVENUE, STE 100, LIBERTYVILLE, IL 60048
(847) 680-3400
(847) 680-3486
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04900943
BLUE CROSS BLUE SHEILD
IL
Enumeration date
05/04/2007
Last updated
04/21/2025
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