Organization
NORTHWESTERN OBSTETRICS AND GYNECOLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY WAITE (OFFICE MANAGER)
(312) 642-9844
Entity
Organization
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 1880, CHICAGO, IL 60611-2927
(312) 642-9844
(312) 642-7637
Mailing address
676 N SAINT CLAIR ST, SUITE 1880, CHICAGO, IL 60611-2927
(312) 642-9844
(312) 642-7637
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
05/17/2012
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