Organization
GOLD COAST GYNECOLOGY SURGERY SC
Active
Organization
GOLD COAST GYNECOLOGY SURGERY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN L PENDL (BILLING MANAGER)
(312) 440-1600
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 830, CHICAGO, IL 60611-4546
(312) 440-1600
Mailing address
680 N LAKE SHORE DR, SUITE 830, CHICAGO, IL 60611-4546
(312) 440-1600
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036057210
IL
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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