Organization
OB-GYNE& INFERTILITY CENTER, S.C.
Active
Other names
Multispecialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANWAR AL-KUNANI M.D. (PRESIDENT)
(847) 228-9898
Entity
Organization
Contact information
Practice address
901 BIESTERFIELD RD, SUITE 105, ELK GROVE VILLAGE, IL 60007-3392
(847) 228-9898
(847) 228-9899
Mailing address
901 BIESTERFIELD RD, SUITE 105, ELK GROVE VILLAGE, IL 60007-3392
(847) 228-9898
(847) 228-9899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IL
207RR0500X
Rheumatology Physician
—
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001635769
BLUE CROSS BLUE SHIELD
IL
05
—
036113949
—
IL
01
—
385128
HARMONY
IL
Enumeration date
07/10/2007
Last updated
08/12/2024
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