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Contact Information

CHICAGO OB-GYN ULTRASOUND SC
2825 N HALSTED ST
2ND FLOOR
CHICAGO, IL60657-5105
 Phone: 773-322-7382
 Fax: 773-935-3691
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CHICAGO OB GYN ULTRASOUND SC · (Female)

NPI Number 1619225174
Status Active
Credentials
Entity Individual
Enumeration date 08/15/2012
Last updated 08/15/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036101996
  • IL Other 036101996 ILLINOIS STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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