Organization Active NPI

Midwest Fertility Center

  • Specialist
  • Downers Grove, IL
National Provider Identifier
1851436174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MIDWEST FERTILITY CENTER
Practice address
4333 Main St
Downers Grove, IL 60515-2869
Phone
(630) 810-0212
Fax
(630) 810-1027
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Kristina L Butler
Title
Billing Manager
Phone
(630) 810-0212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4333 Main St
Downers Grove, IL 60515-2869

Mailing address

4333 Main St
Downers Grove, IL 60515-2869
Phone (630) 810-0212

National Provider Directory

National Provider Directory

Locations

9305 Calumet Ave
Ste C1
Munster, IN 46321
Phone (219) 513-2267

1101 Glendale Blvd
Valparaiso, IN 46383
Phone (219) 462-0026

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851436174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152869",
            "telephone_number": "630-810-0212",
            "fax_number": "630-810-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152869",
            "telephone_number": "630-810-0212",
            "fax_number": "630-810-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FERTILITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "630-810-0212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, 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.