Organization Active NPI

Highland Park OB-GYN Associates, LTD

  • Obstetrics & Gynecology Physician
  • Northbrook, IL
National Provider Identifier
1649464298
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
042000426 Issued in IL
Legal business name
HIGHLAND PARK OB-GYN ASSOCIATES, LTD
Practice address
60 Revere Dr
Suite 750
Northbrook, IL 60062-1563
Phone
(847) 272-7777
Fax
(847) 272-7709
NPI assigned
Aug 28, 2007
Organization subpart
Yes
Parent organization
HIGHLAND PARK OB GYN ASSOCIATES LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Steven I Valfer, M.D.NPI 1669562880
Title
President
Phone
(847) 272-7777

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 042000426 IL Primary

Addresses

Primary practice location

60 Revere Dr
Suite 750
Northbrook, IL 60062-1563

Mailing address

60 Revere Dr
Suite 750
Northbrook, IL 60062-1563
Phone (847) 272-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090702000515 IL Part B Supplier - Clinic/Group Practice 4183775174 Receives reassigned benefits from 2 practitioners
Practice locations: Long Grove, IL; Northbrook, IL

National Provider Directory

National Provider Directory
Part of
Highland Park OB-GYN Associates LTD

Locations

60 Revere Dr
Ste 750
Northbrook, IL 60062
Phone (847) 272-7777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDGBCA

Practitioners & affiliated clinicians

Practitioners 2

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": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1649464298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 REVERE DR",
            "address_2": "SUITE 750",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621563",
            "telephone_number": "847-272-7777",
            "fax_number": "847-272-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 REVERE DR",
            "address_2": "SUITE 750",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621563",
            "telephone_number": "847-272-7777",
            "fax_number": "847-272-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK OB-GYN ASSOCIATES, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHLAND PARK OB GYN ASSOCIATES LTD",
        "enumeration_date": "2007-08-28",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "VALFER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-272-7777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "042000426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.