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Organization

GYNECOLOGICAL & OBSTETRIC ASSOCS, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORRAINE S NOVAS M.D. (PRESIDENT)
(847) 392-9174
Entity
Organization

Contact information

Practice address
1614 W CENTRAL RD STE 205, ARLINGTON HTS, IL 60005
(847) 392-9191
(847) 392-9811
Mailing address
675 W CENTRAL RD, STE 100A, ARLINGTON HTS, IL 60005-2374
(847) 392-9191
(847) 392-9811

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01616450
BC/BS
IL
Enumeration date
06/21/2005
Last updated
07/21/2022
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