Organization
AVA WOMEN'S HEALTH ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAAFAR AFSHAR M.D. (PRESIDENT)
(708) 681-7670
Entity
Organization
Contact information
Practice address
675 W NORTH AVE STE 101, GOTTLIEB PROFESSIONAL BUILDING, MELROSE PARK, IL 60160-1622
(708) 681-7670
(708) 681-7672
Mailing address
675 W NORTH AVE STE 101, GOTTLIEB PROFESSIONAL BUILDING, MELROSE PARK, IL 60160-1622
(708) 681-7670
(708) 681-7672
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630254
BLUE SHIELD
—
Enumeration date
08/19/2006
Last updated
08/22/2020
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