Organization
OBSTETRIC & GYNECOLOGIC ULTRASOUND.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDY E SABBAGHA MD,FACOG (MEDICAL DIRECTOR)
(312) 654-9100
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 1430, CHICAGO, IL 60611-4546
(312) 654-9100
(312) 654-9202
Mailing address
680 N LAKE SHORE DR, SUITE 1430, CHICAGO, IL 60611-4546
(773) 735-2110
(773) 735-4238
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036052551
IL
2085U0001X
Diagnostic Ultrasound Physician
036052551
IL
Other
Enumeration date
03/01/2007
Last updated
10/09/2008
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