Active NPI
Fertility Endocrine & Andrology Consultants LLC
- Reproductive Endocrinology Physician
- Chicago, IL
National Provider Identifier
1316155419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- Legal business name
- FERTILITY ENDOCRINE & ANDROLOGY CONSULTANTS LLC
- Practice address
- 1725 W Harrison St
Suite 739
Chicago, IL 60612-3841 - Phone
- (312) 942-2400
- Fax
- (312) 942-2485
- NPI assigned
- May 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elwyn M Grimes, MD
- Title
- President
- Phone
- (312) 942-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St
Suite 739
Chicago, IL 60612-3841
Mailing address
1725 W Harrison St
Suite 739
Chicago, IL 60612-3841
Phone (312) 942-2400
National Provider Directory
National Provider DirectoryLocations
1725 W Harrison St
Ste 739
Chicago, IL 60612
Phone (312) 563-1000
159 N Marion St
Ste 253
Oak Park, IL 60301
Phone (708) 660-6900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316155419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "SUITE 739",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-942-2400",
"fax_number": "312-942-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "SUITE 739",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-942-2400",
"fax_number": "312-942-2485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERTILITY ENDOCRINE & ANDROLOGY CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRIMES",
"authorized_official_first_name": "ELWYN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-942-2400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 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.