Organization
ADVANCED REPRODUCTIVE HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE CLAYTON (DIRECTOR OF FINANCE AND ADMINISTRAT)
(847) 966-8803
Entity
Organization
Contact information
Practice address
10811 W. 143RD ST., SUITE 120, ORLAND PARK, IL 60467
(708) 403-4210
(708) 403-5272
Mailing address
5225 OLD ORCHARD RD, SUITE 24A, SKOKIE, IL 60077
(847) 966-8803
(847) 966-8821
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BC BS
000 162 0606
IL
Enumeration date
04/14/2007
Last updated
08/30/2012
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