Organization
NORTHERN ILLINOIS FERTILITY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BAUMGART MD (OWNER)
(815) 758-8621
Entity
Organization
Contact information
Practice address
625 BETHANY RD, SUITE 1, DEKALB, IL 60115-4908
(815) 758-8621
(815) 758-5838
Mailing address
625 BETHANY RD, SUITE 1, DEKALB, IL 60115-4908
(815) 758-8621
(815) 758-5838
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
IL
367A00000X
Advanced Practice Midwife
—
IL
Other
Enumeration date
09/14/2005
Last updated
07/21/2022
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