Organization Active NPI

Cryovault, Inc

  • Ambulatory Fertility Facility
  • Northbrook, IL
National Provider Identifier
1740174275
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
Legal business name
CRYOVAULT, INC
Practice address
40 Skokie Blvd Ste 605
Northbrook, IL 60062-1601
Phone
(847) 433-9050
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Colleen Coughlin
Title
Ceo/Owner
Phone
(847) 433-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X Primary

Addresses

Primary practice location

40 Skokie Blvd Ste 605
Northbrook, IL 60062-1601

Mailing address

40 Skokie Blvd Ste 40
Northbrook, IL 60062-1601
Phone (847) 433-9050

National Provider Directory

National Provider Directory

Locations

40 Skokie Blvd
Ste 40
Northbrook, IL 60062

40 Skokie Blvd
Ste 605
Northbrook, IL 60062
Phone (847) 433-9050

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1740174275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SKOKIE BLVD STE 40",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621601",
            "telephone_number": "847-433-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SKOKIE BLVD STE 605",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621601",
            "telephone_number": "847-433-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYOVAULT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-08",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "847-433-9050"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "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 Jun 9, 2025; 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.