Ny-C Fertility Center, LLC

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

036-121557 Issued in IL

Legal business name

NY-C FERTILITY CENTER, LLC

Practice address

1S260 Summit Ave FL 3
Oakbrook Terrace, IL 60181-3941

Phone

(630) 953-6669

Fax

(630) 953-6655

NPI assigned

Nov 3, 2008

Last updated

Dec 8, 2009By 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

Dr. Suzanne M Kavic, M.D.NPI 1972511731

Title

President

Phone

(630) 953-6669

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Suzanne M. Kavic, MD, SC Former legal business name

Locations

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.

• Suzanne Kavic, MD

  • Reproductive Endocrinology Physician
  • Oakbrook Terrace, IL
  • NPI 1972511731
  Authorized official Same address or phone

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1881847903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S260 SUMMIT AVE FL 3",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813941",
            "telephone_number": "630-953-6669",
            "fax_number": "630-953-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S260 SUMMIT AVE FL 3",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813941",
            "telephone_number": "630-953-6669",
            "fax_number": "630-953-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY-C FERTILITY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "KAVIC",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-953-6669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": "036-121557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "036-121557",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suzanne M. Kavic, MD, SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Reproductive Endocrinology Physician in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Reproductive Endocrinology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.