NPIMap

Organization Active NPI

Midwest Reproductive Care LLC

Doing business as Reproductive Health and Fertility Center

  • Reproductive Endocrinology Physician
  • Peoria, IL
National Provider Identifier
1487179495
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
036.111547 Issued in IL
Legal business name
MIDWEST REPRODUCTIVE CARE LLC
Doing business as
Reproductive Health and Fertility Center
Practice address
900 Main St Ste 330
Peoria, IL 61602-5009
Phone
(877) 373-7552
NPI assigned
Aug 10, 2017
Last updated
Aug 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Authorized official

Name
Dr. Todd Deutch, MDNPI 1790945905
Title
Manager
Phone
(773) 720-9958

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)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 036.111547 IL Primary

Addresses

Primary practice location

900 Main St Ste 330
Peoria, IL 61602-5009

Mailing address

2252 Tennyson LN
Highland Park, IL 60035-1640

Other names 1

  • Reproductive Health and Fertility Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1487179495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 TENNYSON LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 330",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616025009",
            "telephone_number": "877-373-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST REPRODUCTIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "DEUTCH",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-720-9958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": "036.111547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reproductive Health and Fertility Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.