Organization Active NPI

PRM Gynecology of Illinois SC

  • Gynecology Physician
  • Chicago, IL
National Provider Identifier
1396534269
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
PRM GYNECOLOGY OF ILLINOIS SC
Practice address
625 N Michigan Ave Ste 1810
Chicago, IL 60611-4592
Phone
(872) 310-3920
NPI assigned
May 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Jane Marie Lagnese
Title
Director of Revenue Cycle
Phone
(561) 422-4206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

625 N Michigan Ave Ste 1810
Chicago, IL 60611-4592

Mailing address

2090 Palm Beach Lakes Blvd Ste 700
West Palm Beach, FL 33409-6508
Phone (561) 422-4206

National Provider Directory

National Provider Directory

Locations

625 N Michigan Ave
Ste 1810
Chicago, IL 60611
Phone (630) 593-7080

Practitioners & affiliated clinicians

Practitioners 2

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": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1396534269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 PALM BEACH LAKES BLVD STE 700",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096508",
            "telephone_number": "561-422-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N MICHIGAN AVE STE 1810",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114592",
            "telephone_number": "872-310-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRM GYNECOLOGY OF ILLINOIS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "LAGNESE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "561-422-4206"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "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 May 6, 2025; 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.