NPIMap

Organization Active NPI

Advanced OB Gyne Associates

  • Specialist
  • Hoffman Estates, IL
National Provider Identifier
1417075748
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADVANCED OB GYNE ASSOCIATES
Practice address
1585 Barrington Rd
Suite 605
Hoffman Estates, IL 60194-1090
Phone
(847) 755-1111
Fax
(847) 755-1166
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kathleen Mary Shaw
Title
Manager
Phone
(847) 755-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1585 Barrington Rd
Suite 605
Hoffman Estates, IL 60194-1090

Mailing address

1585 Barrington Rd
Suite 605
Hoffman Estates, IL 60194-1090
Phone (847) 755-1111

National Provider Directory

National Provider Directory

Locations

2010 S Arlington Heights Rd
Ste 240
Arlington Heights, IL 60005

880 W Central Rd
Ste 4250
Arlington Heights, IL 60005

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417075748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "SUITE 605",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601941090",
            "telephone_number": "847-755-1111",
            "fax_number": "847-755-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "SUITE 605",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601941090",
            "telephone_number": "847-755-1111",
            "fax_number": "847-755-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED OB GYNE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-755-5588",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, 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.

Verify at the official NPI Registry.