Organization Active NPI

Northwest Obstetrics & Gynecological Associates, LTD

  • Obstetrics & Gynecology Physician
  • Park Ridge, IL
National Provider Identifier
1770513459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NORTHWEST OBSTETRICS & GYNECOLOGICAL ASSOCIATES, LTD
Practice address
2 W Talcott Rd
Suite 16
Park Ridge, IL 60068-5556
Phone
(847) 825-8108
Fax
(847) 825-0682
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carmen J Scarimbolo, M.D.
Title
President
Phone
(847) 825-8108

Specialties & licenses 1

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

Addresses

Primary practice location

2 W Talcott Rd
Suite 16
Park Ridge, IL 60068-5556

Mailing address

2 W Talcott Rd
Suite 16
Park Ridge, IL 60068-5556
Phone (847) 825-8108

National Provider Directory

National Provider Directory

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770513459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W TALCOTT RD",
            "address_2": "SUITE 16",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685556",
            "telephone_number": "847-825-8108",
            "fax_number": "847-825-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W TALCOTT RD",
            "address_2": "SUITE 16",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685556",
            "telephone_number": "847-825-8108",
            "fax_number": "847-825-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OBSTETRICS & GYNECOLOGICAL ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCARIMBOLO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-825-8108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.