Active NPI
OB-Gyne Associates of Libertyville, SC
- Obstetrics & Gynecology Physician
- Libertyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- OB-GYNE ASSOCIATES OF LIBERTYVILLE, SC
- Practice address
- 801 S Milwaukee Avenue, Ste 100
Libertyville, IL 60048 - Phone
- (847) 680-3400
- Fax
- (847) 680-3486
- NPI assigned
- May 4, 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. Rannveig Middleton, MD
- Title
- MD
- Phone
- (847) 680-3400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
801 S Milwaukee Avenue, Ste 100
Libertyville, IL 60048
Mailing address
801 S Milwaukee Avenue, Ste 100
Libertyville, IL 60048
Phone (847) 680-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04900943 | Other | IL | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080125000652 | IL | Part B Supplier - Clinic/Group Practice | 7618059874 |
Receives reassigned benefits from 7 practitioners Practice locations: Libertyville, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0890861 | OB-Gyne Associates of Libertyville | Certificate of waiver | Aug 25, 2026 |
National Provider Directory
National Provider DirectoryLocations
6440 Grand Ave
#210
Gurnee, IL 60031
Phone (847) 855-8881
6440 Grand Ave
Ste 200
Gurnee, IL 60031
6440 Grand Ave
Ste 210
Gurnee, IL 60031
Phone (847) 855-8881
801 S Milwaukee Ave
Ste 100
Libertyville, IL 60048
Phone (847) 680-3400
801 S Milwaukee Ave
#100
Libertyville, IL 60048
Phone (847) 680-3400
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1147
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Libertyville, IL
- NPI 1912292822
IL, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Libertyville, IL
- NPI 1790364412
IL, Single Specialty
-
- Obstetrics & Gynecology Physician
- Grayslake, IL
- NPI 1477535151
IL, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Libertyville, IL
- NPI 1669468484
IL, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Libertyville, IL
- NPI 1992385520
IL, Obstetrics & Gynecology
-
- Otolaryngology Physician
- Elk Grove Village, IL
- NPI 1134105125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745193600000",
"number": "1457563272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S MILWAUKEE AVENUE, STE 100",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "60048",
"telephone_number": "847-680-3400",
"fax_number": "847-680-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S MILWAUKEE AVENUE, STE 100",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "60048",
"telephone_number": "847-680-3400",
"fax_number": "847-680-3486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OB-GYNE ASSOCIATES OF LIBERTYVILLE, SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A",
"authorized_official_last_name": "MIDDLETON",
"authorized_official_first_name": "RANNVEIG",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "847-680-3400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "04900943",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.