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Contact Information

OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
959 S. WAUKEGAN RD
FLOOR 2
LAKE FOREST, IL60045
 Phone: 847-234-3250
 Fax: 847-234-8155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for OB GYNE ASSOCIATES OF LAKE FOREST LTD · (Female)

NPI Number 1417093808
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2007
Last updated 03/02/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 042001387 036084828
  • IL Medicaid 036067565
  • IL Medicaid 036084302
  • IL Medicaid 036092828
  • IL Medicaid 036103613
  • Other 04915672 BCBS
  • IL Other CF6069 RAILROAD MEDICARE
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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