Organization Active NPI

Lake Forest Obstetrics Gynecology & Infertility S.C.

  • Obstetrics & Gynecology Physician
  • Lake Forest, IL
National Provider Identifier
1649255902
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LAKE FOREST OBSTETRICS GYNECOLOGY & INFERTILITY S.C.
Practice address
900 N Westmoreland Rd
Suite 228
Lake Forest, IL 60045-1674
Phone
(847) 234-3860
Fax
(847) 234-3981
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Mrs. Sheila Schewitz
Title
Business Manager
Phone
(847) 234-3860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

900 N Westmoreland Rd
Suite 228
Lake Forest, IL 60045-1674

Mailing address

900 N Westmoreland Rd
Suite 228
Lake Forest, IL 60045-1674
Phone (847) 234-3860

Other identifiers 1

IdentifierTypeStateIssuer
04900441OtherILBCBS GROUP PROVIDER NUMBE

National Provider Directory

National Provider Directory

Locations

900 N Westmoreland Rd
Ste 228
Lake Forest, IL 60045
Phone (847) 234-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1649255902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE 228",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451674",
            "telephone_number": "847-234-3860",
            "fax_number": "847-234-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE 228",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451674",
            "telephone_number": "847-234-3860",
            "fax_number": "847-234-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOREST OBSTETRICS GYNECOLOGY & INFERTILITY S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "SCHEWITZ",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "847-234-3860",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "BCBS GROUP PROVIDER NUMBE",
            "identifier": "04900441",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.