Obstetrics & Gynecology II, LTD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036059120 Issued in IL

Legal business name

OBSTETRICS & GYNECOLOGY II, LTD

Practice address

1302 Franklin Ave
Suite 2800
Normal, IL 61761-3551

Phone

(309) 454-1074

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jodi Renee Hobbs

Title

Billing

Phone

(309) 454-1074

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Lawrence Vincent Gratkins, MD

  • Obstetrics & Gynecology Physician
  • Normal, IL
  • NPI 1912003013

  IL, Obstetrics & Gynecology

  Medicare reassignment NPD

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306048723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE",
            "address_2": "SUITE 2800",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613551",
            "telephone_number": "309-454-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE",
            "address_2": "SUITE 2800",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613551",
            "telephone_number": "309-454-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS & GYNECOLOGY II, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "309-454-1074",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036059120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059120",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Enyinnaya Nwankwo, M.D.
• Thomas Winn Nylund
• Marcia Ruth O'Donnell, LCSW
• Auston J O'Neal, PTA
• Tasha Oakley
• Occupational Development Center
• Jessica Ashley Olson, APN, FNP-C
• One to One Health
• Anand Oroskar, M.D.
• Irene Ortega, MSW, LSW

• All providers in Normal, IL
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.