Organization
CHICAGO OB-GYN ULTRASOUND SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUES S ABRAMOWICZ M.D. (PHYSICIAN OWNER)
(773) 322-7382
Entity
Organization
Contact information
Practice address
2825 N HALSTED ST, 2ND FLOOR, CHICAGO, IL 60657-5105
(773) 322-7382
(773) 935-3691
Mailing address
2825 N HALSTED ST, 2ND FLOOR, CHICAGO, IL 60657-5105
(773) 322-7382
(773) 935-3691
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036101996
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036101996
ILLINOIS STATE LICENSE
IL
Enumeration date
08/15/2012
Last updated
08/15/2012
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