Bravo & San Juan SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BRAVO & SAN JUAN SC

Practice address

1200 S York Rd
Suite 4120
Elmhurst, IL 60126-5630

Phone

(630) 833-1666

Fax

(630) 833-1690

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Miriam B Miller

Title

Office Manager

Phone

(630) 758-8610

Specialties & licenses 1

Addresses

Other names 1

• Antonio Bravo MD, SC Former legal business name

Practitioners 1

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

• Armando A San Juan, MD

  • Obstetrics & Gynecology Physician
  • Elmhurst, IL
  • NPI 1235220518
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1376634675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD",
            "address_2": "SUITE 4120",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265630",
            "telephone_number": "630-833-1666",
            "fax_number": "630-833-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD",
            "address_2": "SUITE 4120",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265630",
            "telephone_number": "630-833-1666",
            "fax_number": "630-833-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO & SAN JUAN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-758-8610",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antonio Bravo MD, SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Richard A Brash, M.D.
• Brauer & Associates LTD
• John Ricksecker Brauer, PSY.D.
• Amy Bravatty, LCSW
• Braving Motherhood Counseling & Wellness PLLC
• Antonio J Bravo, MD
• Breg, Inc.
• Linda Sue Breitenstein, DC
• Meghan L Brennan, M.D.
• Marcus A. Brent, LMT

• Obstetrics & Gynecology Physician in Elmhurst, IL
• Providers in Elmhurst, 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 15, 2009; 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.