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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.

NPI # 1417093808
LBN Legal business name OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
Authorized official MICHAEL HUBBELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2007
Last updated 03/02/2015 - About 11 years ago
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
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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