Organization Active NPI

M & a OB-GYN Associates, SC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1194758375
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
M & A OB-GYN ASSOCIATES, SC
Practice address
5600 W Addison St
Suite 503
Chicago, IL 60634-4401
Phone
(773) 282-5299
Fax
(773) 282-5504
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
M Matthew Ahranjani, MD
Title
President
Phone
(773) 282-5299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

5600 W Addison St
Suite 503
Chicago, IL 60634-4401

Mailing address

5600 W Addison St
Suite 503
Chicago, IL 60634-4401
Phone (773) 282-5299

Other identifiers 3

IdentifierTypeStateIssuer
14D0930527OtherILCLIA
DQ2132OtherILRAILROAD MEDICARE
01627922OtherILBCBS

National Provider Directory

National Provider Directory

Locations

5645 W Addison St
Ste 249
Chicago, IL 60634
Phone (773) 527-5071

5600 W Addison St
Ste 503
Chicago, IL 60634
Phone (773) 282-5299

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1194758375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "SUITE 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344401",
            "telephone_number": "773-282-5299",
            "fax_number": "773-282-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "SUITE 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344401",
            "telephone_number": "773-282-5299",
            "fax_number": "773-282-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & A OB-GYN ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "AHRANJANI",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-282-5299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D0930527",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ2132",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01627922",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.