Organization Active NPI

The Institute for Human Reproduction

  • Reproductive Endocrinology Physician
  • Chicago, IL
National Provider Identifier
1700648607
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
THE INSTITUTE FOR HUMAN REPRODUCTION
Practice address
680 N Lake Shore Dr Ste 117
Chicago, IL 60611-4448
Phone
(312) 288-6420
Fax
(312) 288-6421
NPI assigned
Jan 25, 2024
Organization subpart
Yes
Parent organization
THE INSTITUTE FOR HUMAN REPRODUCTIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Kathleen Domer
Title
Billing Manager
Phone
(312) 288-6420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

680 N Lake Shore Dr Ste 117
Chicago, IL 60611-4448

Mailing address

680 N Lake Shore Dr Ste 117
Chicago, IL 60611-4448
Phone (312) 288-6420

Other practice location 1

2500 W Layton Ave Ste 290
Milwaukee, WI 53221-5400
Phone (312) 288-6420

National Provider Directory

National Provider Directory
Tax ID family
The Institute for Human Reproduction2 organizations share this tax ID, including this one
Part of
The Institute for Human Reproduction

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

680 N Lake Shore Dr
Ste 117
Chicago, IL 60611
Phone (312) 288-6420

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1700648607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114448",
            "telephone_number": "312-288-6420",
            "fax_number": "312-288-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114448",
            "telephone_number": "312-288-6420",
            "fax_number": "312-288-6421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Layton Ave Ste 290",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532215400",
            "country_code": "US",
            "telephone_number": "312-288-6420",
            "fax_number": "312-288-6421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE INSTITUTE FOR HUMAN REPRODUCTION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE INSTITUTE FOR HUMAN REPRODUCTION",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "DOMER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "312-288-6420"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.