Reproductive Health Associates, S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

042007851 Issued in IL

Legal business name

REPRODUCTIVE HEALTH ASSOCIATES, S.C.

Practice address

17850 So. Kedzie
Suite 3100
Hazel Crest, IL 60429-2086

Phone

(708) 798-2400

Fax

(708) 798-0776

NPI assigned

Jan 10, 2007

Last updated

Mar 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathey L Polletta

Title

Practice Administrator

Phone

(708) 798-1434

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1790834547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE",
            "address_2": "SUITE 3100",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292058",
            "telephone_number": "708-798-2400",
            "fax_number": "708-798-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 SO. KEDZIE",
            "address_2": "SUITE 3100",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292086",
            "telephone_number": "708-798-2400",
            "fax_number": "708-798-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPRODUCTIVE HEALTH ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "POLLETTA",
        "authorized_official_first_name": "KATHEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "708-798-1434",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "042007851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE-LICENSE",
            "identifier": "042007851",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.