Chicago Infertility Associates LTD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

036102289 Issued in IL

Legal business name

CHICAGO INFERTILITY ASSOCIATES LTD

Practice address

1515 E Lake St Ste 208
Hanover Park, IL 60133-7152

Phone

(630) 540-9317

Fax

(630) 540-2262

NPI assigned

Jun 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ketan Narandas Jobanputra, M.D,F.A.C.O.G

Title

President, Medical Director

Phone

(630) 540-9317

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1033311832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5310",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601815301",
            "telephone_number": "630-540-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E LAKE ST STE 208",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601337152",
            "telephone_number": "630-540-9317",
            "fax_number": "630-540-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO INFERTILITY ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "JOBANPUTRA",
        "authorized_official_first_name": "KETAN",
        "authorized_official_middle_name": "NARANDAS",
        "authorized_official_title_or_position": "PRESIDENT, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-540-9317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,F.A.C.O.G"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": "036102289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102289",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim G Cagney, RPH
• Chelsie Renae Carlton, MD
• Cas-Man
• Elizabeth Chalaveetil, PHARMD
• Nikko Chamopoulos, CFT
• Church Street Station Skilled Nursing and Living Center, LLC (Claremont Hanover Park)
• Marcella Ingarra Cimino, NP
• Community Wellness and Health Center NFP
• Timothy Cresson, PHARMD
• Antonio B Cruz, MD

• Reproductive Endocrinology Physician in Hanover Park, IL
• Providers in Hanover Park, IL by specialty
• Reproductive Endocrinology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.