MIDWEST REPRODUCTIVE CARE LLC; NPI #1487179495

Contact Information

MIDWEST REPRODUCTIVE CARE LLC

900 MAIN ST STE 330
PEORIA, IL 61602-5009

Phone: 877-373-7552
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Reproductive Endocrinology	207VE0102X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for MIDWEST REPRODUCTIVE CARE LLC

NPI Number 1487179495

LBN Legal business name MIDWEST REPRODUCTIVE CARE LLC

Authorized official TODD DEUTCH - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/10/2017

Last updated 08/10/2017 - About 9 years ago

Identifiers

License #

036.111547

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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