Organization Active NPI

OB GYN Southwest SC

  • Obstetrics & Gynecology Physician
  • Palos Park, IL
National Provider Identifier
1205995321
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
042-003718 Issued in IL
Legal business name
OB GYN SOUTHWEST SC
Practice address
13011 S 104TH Ave Ste 203
Palos Park, IL 60464-1512
Phone
(708) 923-7900
Fax
(708) 923-7915
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Dr. Robert F Lindgren, MD
Title
President
Phone
(708) 923-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 042-003718 IL Primary

Addresses

Primary practice location

13011 S 104TH Ave Ste 203
Palos Park, IL 60464-1512

Mailing address

13011 S 104TH Ave Ste 205
Palos Park, IL 60464-1512
Phone (708) 923-7900

National Provider Directory

National Provider Directory

Locations

12255 S 80th Ave
Ste 205
Palos Heights, IL 60463
Phone (708) 923-4200

13011 S 104th Ave
Ste 205
Palos Park, IL 60464
Phone (708) 671-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1205995321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE STE 205",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641512",
            "telephone_number": "708-923-7900",
            "fax_number": "708-923-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE STE 203",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641512",
            "telephone_number": "708-923-7900",
            "fax_number": "708-923-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB GYN SOUTHWEST SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "LINDGREN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-923-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "042-003718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.