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Organization

ADVANCED WOMENS CARE CENTER SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANAE LYNN YOCKEY D.O. (PRESIDENT)
(847) 981-3698
Entity
Organization

Contact information

Practice address
800 BIESTERFIELD RD, EBERLE MEDICAL BUILDING #750, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3698
(847) 981-3625
Mailing address
800 BIESTERFIELD RD, EBERLE MEDICAL BUILDING #750, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3698
(847) 981-3625

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036089219
IL
01
1073509451
NPI
IL
01
1628269
BCBS OF IL
IL
Enumeration date
10/16/2006
Last updated
07/21/2022
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