Organization
REPRODUCTIVE HEALTH ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHEY L POLLETTA (PRACTICE ADMINISTRATOR)
(708) 798-1434
Entity
Organization
Contact information
Practice address
17850 SO. KEDZIE, SUITE 3100, HAZEL CREST, IL 60429-2086
(708) 798-2400
(708) 798-0776
Mailing address
17850 KEDZIE AVE, SUITE 3100, HAZEL CREST, IL 60429-2058
(708) 798-2400
(708) 798-0776
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042007851
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042007851
PRACTICE-LICENSE
IL
Enumeration date
01/10/2007
Last updated
03/14/2012
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