ADVANCED FERTILITY CENTER OF CHICAGO NPI 1881806719

NPI Information

NPI: 1881806719
Provider Name: ADVANCED FERTILITY CENTER OF CHICAGO
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 14D0945980

Address:
30 TOWER COURT
SUITE F
GURNEE, IL
ZIP 60031
Phone: (847) 662-1818
Get Directions

ADVANCED FERTILITY CENTER OF CHICAGO is a reproductive endocrinology obstetrics gynecology in Gurnee, IL. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. ADVANCED FERTILITY CENTER OF CHICAGO NPI is 1881806719. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 TOWER COURT
SUITE F
GURNEE, IL
ZIP 60031
Phone: (847) 662-1818
Fax: (847) 662-3001

The provider's authorized official is Richard Sherbahn .
The authorized official title is Owner and has the following contact phone number (847) 662-1818.

The CLIA number assigned to this NPI record is 14D0945980 - other - ivf lab with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 4/29/2014.

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
1	174400000X	Specialist		036-086403	ILLINOIS	No
2	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	036086403	ILLINOIS	Yes

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
1	G13732	MEDICARE UPIN	ILLINOIS

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

NPI Synchronization or Removal

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