Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gynecologic Specialists of Northwestern, SC

Organization Internal Medicine Physician · NPI 1013014042

Gynecologic Specialists of Northwestern, SC is an Internal Medicine Physician in Chicago, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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Practice location Address checks out

680 N Lake Shore Dr SUITE117
Chicago, IL 60611-4546
Phone: (312) 654-1166
Fax: (312) 654-5288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1013014042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Blumenthal — Owner/Treasurer · (312) 654-1166
Other names Obstetric And Gynocologic Specialists Of Northwestern S.C.
NPI enumeratedSeptember 20, 2006
Last updated in NPPESMarch 4, 2013
Mailing address190 E Delaware Pl, Chicago, IL 60611-1814

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