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TERRACE OBSTETRICIANS & GYNECOLOGISTS SC NPI 1134253370


NPI Information

NPI: 1134253370
Provider Name: TERRACE OBSTETRICIANS & GYNECOLOGISTS SC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1S132 SUMMIT AVE
SUITE 305
OAKBROOK TERRACE, IL
ZIP 60181
Phone: (630) 627-4954
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TERRACE OBSTETRICIANS & GYNECOLOGISTS SC is an obstetrics gynecology in Oakbrook Terrace, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. TERRACE OBSTETRICIANS & GYNECOLOGISTS SC NPI is 1134253370. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1S132 SUMMIT AVE
SUITE 305
OAKBROOK TERRACE, IL
ZIP 60181-955
Phone: (630) 627-4954
Fax: (630) 627-0441

The provider's authorized official is Thomas T Chen .
The authorized official title is President and has the following contact phone number (630) 627-0147.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 10/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology036060483ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11615022OTHERILLINOISBCBS ID NUMBER
2417530MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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