Organization · Type 2 NPI
Cross Road Obstetrics and Gynecology Clinic
Specialist · Chicago, IL
NPI number
1053595918
Active
Practice location
3724 W Chicago Ave
Chicago, IL 60651-3820
Fax (773) 486-3071
Mailing address
P.o. Box 5111
Oakbrook, IL 60522-5111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036094748 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1053595918
Cross Road Obstetrics and Gynecology Clinic's National Provider Identifier is 1053595918, issued on Dec 27, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Jan 3, 2008.