Organization
AVANT OBSTETRICS AND GYNECOLOGY LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MICHAEL KUDER MD (CEO)
(224) 875-8337
Entity
Organization
Contact information
Practice address
201 E STRONG ST STE 3, WHEELING, IL 60090-2979
(847) 461-3339
Mailing address
201 E STRONG ST STE 3, WHEELING, IL 60090-2979
(847) 461-3339
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-145710
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-145710
STATE OF ILLINOIS DEPT OF REGULATIONS
IL
Enumeration date
05/02/2018
Last updated
05/02/2018
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