Associates in Gynecology LTD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

036059189 Issued in IL

Legal business name

ASSOCIATES IN GYNECOLOGY LTD

Practice address

1604 N Main St
Wheaton, IL 60187-3145

Phone

(630) 260-1818

Fax

(630) 260-1943

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Jeanine Evans

Title

Office Manager

Phone

(630) 260-1818

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1801832787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873145",
            "telephone_number": "630-260-1818",
            "fax_number": "630-260-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873145",
            "telephone_number": "630-260-1818",
            "fax_number": "630-260-1943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 N Main St",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601873145",
            "country_code": "US",
            "telephone_number": "630-260-1818",
            "fax_number": "630-260-1943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATES IN GYNECOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-260-1818"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036059189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "CL8213",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.