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Organization

PROGRESSIVECARE FOR WOMEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY WILLIAM CHEN M.D. (PRESIDENT)
(312) 573-3711
Entity
Organization

Contact information

Practice address
676 N SAINT CLAIR, 1800, CHICAGO, IL 60611
(312) 573-3711
(312) 573-3705
Mailing address
676 N SAINT CLAIR, 1800, CHICAGO, IL 60611
(312) 573-3711
(312) 573-3705

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1622901
BC BS OF IL
IL
Enumeration date
12/24/2007
Last updated
04/16/2008
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