Organization
NORTHWESTERN PERINATAL ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDI L GRETZ RN (PRACTICE MANAGER)
(312) 981-4350
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DRIVE, SUITE 1428, CHICAGO, IL 60611-8700
(312) 981-4350
(312) 981-4363
Mailing address
680 N LAKE SHORE DRIVE, SUITE 1428, CHICAGO, IL 60611-8700
(312) 981-4350
(312) 981-4363
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
036-058725
IL
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
036058725
IL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036-058725
IL
207VX0000X
Obstetrics Physician
036-058725
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058725
—
IL
Enumeration date
05/09/2007
Last updated
04/27/2010
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