Organization
ASSOCIATES IN GYNECOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANINE EVANS (OFFICE MANAGER)
(630) 260-1818
Entity
Organization
Contact information
Practice address
1604 N MAIN ST, WHEATON, IL 60187-3145
(630) 260-1818
(630) 260-1943
Mailing address
1604 N MAIN ST, WHEATON, IL 60187-3145
(630) 260-1818
(630) 260-1943
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036059189
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL8213
RR MCR
IL
Enumeration date
06/21/2006
Last updated
06/10/2021
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