Organization
LINCOLN PARK OBGYN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVONNE WOLNY MD (PHYSICIAN)
(773) 880-6064
Entity
Organization
Contact information
Practice address
830 W DIVERSEY PKWY, SUITE 200, CHICAGO, IL 60614
(773) 880-6064
(773) 880-6107
Mailing address
2650 N LAKEVIEW, APT 3305, CHICAGO, IL 60614
(773) 880-6064
(773) 880-6107
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036106071
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106071
—
IL
Enumeration date
04/12/2007
Last updated
06/23/2008
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