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Organization

CONTEMPORARY OB/GYN CHICAGO, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIA E LAYNE MD (OWNER, MEDICAL DIRECTOR)
(773) 636-5341
Entity
Organization

Contact information

Practice address
2007 S STATE ST, CHICAGO, IL 60616-2173
(773) 340-2546
(773) 340-2547
Mailing address
8140 S SPAULDING AVE, CHICAGO, IL 60652-2613

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
09/24/2020
Last updated
09/24/2020
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