Midwest Obstetrics & Gynecology SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036110076 Issued in IL

Legal business name

MIDWEST OBSTETRICS & GYNECOLOGY SC

Practice address

1555 Barrington Rd
Doctor'S Office Building #1, Suite 210
Hoffman Estates, IL 60169-1019

Phone

(630) 843-1100

Fax

(847) 781-1895

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Margaret R. Nettleton, M.D.

Title

Owner

Phone

(847) 843-1100

Specialties & licenses 1

Addresses

Other names 1

• Women's Center For Wellness Doing business as

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1437337334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "DOCTOR'S OFFICE BUILDING #1, SUITE 210",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "847-843-1100",
            "fax_number": "847-781-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "DOCTOR'S OFFICE BUILDING #1, SUITE 210",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "630-843-1100",
            "fax_number": "847-781-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST OBSTETRICS & GYNECOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "NETTLETON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-843-1100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036110076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Center For Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Hoffman Estates, IL
• Providers in Hoffman Estates, 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 Nov 9, 2010; 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.