Organization
NOTHWESTERN REPRODUCTIVE GENETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE PERGAMENT M.D. (PYSICIAN)
(847) 429-0571
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, STE 1428, CHICAGO, IL 60611-4546
(312) 981-4400
Mailing address
680 N LAKE SHORE DR, CHICAGO, IL 60611-4546
(312) 981-4400
Taxonomy
Speciality
Code
Description
License number
State
207SG0205X
Ph.D. Medical Genetics Physician
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
06/21/2018
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