Chicago OB-GYN Ultrasound SC

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

036101996 Issued in IL

Legal business name

CHICAGO OB-GYN ULTRASOUND SC

Practice address

2825 N Halsted St
2ND Floor
Chicago, IL 60657-5105

Phone

(773) 322-7382

Fax

(773) 935-3691

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Jacques S Abramowicz, M.D.

Title

Physician Owner

Phone

(773) 322-7382

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1619225174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 N HALSTED ST",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575105",
            "telephone_number": "773-322-7382",
            "fax_number": "773-935-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N HALSTED ST",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575105",
            "telephone_number": "773-322-7382",
            "fax_number": "773-935-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO OB-GYN ULTRASOUND SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "ABRAMOWICZ",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "773-322-7382",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036101996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSE",
            "identifier": "036101996",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Maternal & Fetal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Maternal & Fetal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.