NPIMap

Organization Active NPI

Chicago Metropolitan Obstetricians Gynecologists and Pediatricians

  • Obstetrics & Gynecology Physician
  • Harvey, IL
National Provider Identifier
1609216084
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036043976 Issued in IL
Legal business name
CHICAGO METROPOLITAN OBSTETRICIANS GYNECOLOGISTS AND PEDIATRICIANS
Practice address
15620 South Wood Street
Harvey, IL 60426-4171
Phone
(708) 333-3030
Fax
(708) 333-7453
NPI assigned
Jun 28, 2013
Last updated
Jun 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Mr. Ernest A. Hayes, M.D.NPI 1083776678
Title
President/Ceo
Phone
(708) 333-3030

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
Obstetrics & Gynecology Physician 207V00000X 036043976 IL Primary

Addresses

Primary practice location

15620 South Wood Street
Harvey, IL 60426-4171

Mailing address

PO Box 4685
Chicago, IL 60680-4685
Phone (708) 333-3030

Other identifiers 1

IdentifierTypeStateIssuer
036043976MedicaidIL

National Provider Directory

National Provider Directory

Locations

15620 Wood St
Harvey, IL 60426
Phone (708) 333-3030

Practitioners & affiliated clinicians

Practitioners 9

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": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1609216084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4685",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606804685",
            "telephone_number": "708-333-3030",
            "fax_number": "708-333-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 SOUTH WOOD STREET",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264171",
            "telephone_number": "708-333-3030",
            "fax_number": "708-333-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO METROPOLITAN OBSTETRICIANS GYNECOLOGISTS AND PEDIATRICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "708-333-3030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036043976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036043976",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.