Maternal Fetal Consultants, SC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

042.617773 Issued in IL

Legal business name

MATERNAL FETAL CONSULTANTS, SC

Practice address

1425 N Randall Rd
Sherman Hosp, St 1-2150
Elgin, IL 60123-2300

Phone

(224) 783-8975

Fax

(224) 783-3956

NPI assigned

May 30, 2008

Last updated

Aug 4, 2010By 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

Jude R Duval, MDNPI 1235171877

Title

Owner/Physician

Phone

(224) 783-8975

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jude R Duval, M.D.

  • Maternal & Fetal Medicine Physician
  • Elgin, IL
  • NPI 1235171877
  Authorized official Same address or phone
• Anita Chandrathil Manogura, MD

  • Maternal & Fetal Medicine Physician
  • Elgin, IL
  • NPI 1124176987
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1821256355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601210357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N RANDALL RD",
            "address_2": "SHERMAN HOSP, ST 1-2150",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232300",
            "telephone_number": "224-783-8975",
            "fax_number": "224-783-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL FETAL CONSULTANTS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "DUVAL",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "224-783-8975",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "042.617773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DR JUDE DUVAL",
            "identifier": "1235171877",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samer Martini
• Valerie W Martini, AU.D.
• Jaclyn Mastrangeli
• Doan Nguyen Masulis, PHARMD
• Azmey Awad Matarieh, M.D.
• Mathers Clinic, LLC
• Mathers Community Mental Health Center LLC
• Mathers Recovery LLC
• Mathers Recovery LLC
• Jenny Mathew, NP

• Medical Specialty Clinic/Center in Elgin, IL
• Providers in Elgin, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.