Northwestern Obstetrics and Gynecology Consultants, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NORTHWESTERN OBSTETRICS AND GYNECOLOGY CONSULTANTS, LLC

Practice address

1535 Lake Cook Road
Suite 604
Northbrook, IL 60062

Phone

(312) 642-9844

Fax

(312) 642-7637

NPI assigned

May 23, 2012

Organization subpart

Yes

Parent organization

NORTHWESTERN OBSTETRICS AND GYNECOLOGY CONSULTANTS, LLCAs reported in NPPES

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

Authorized official

Name

Terry Waite

Title

Office Manager

Phone

(312) 642-9844

Specialties & licenses 1

Addresses

Tax ID family

Northwestern Obstetrics and Gynecology Consultants LLC2 organizations share this tax ID, including this one

Part of

Northwestern Obstetrics and Gynecology Consultants LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwestern Obstetrics and Gynecology Consultants, LLC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1720313885
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northwestern Obstetrics and Gynecology Consultants, LLC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1720313885
  NPPES parent name

Practitioners 1

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

• Anjali Mehta, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1760603443
  NPD (past)

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1235499369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "#1880",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-642-9844",
            "fax_number": "312-642-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK ROAD",
            "address_2": "SUITE 604",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "312-642-9844",
            "fax_number": "312-642-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN OBSTETRICS AND GYNECOLOGY CONSULTANTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWESTERN OBSTETRICS AND GYNECOLOGY CONSULTANTS, LLC",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "312-642-9844"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.