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

Libertyville OBGYN SC

Organization Obstetrics & Gynecology Physician · NPI 1578612677

Libertyville OBGYN SC is an Obstetrics & Gynecology Physician in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

890 Garfield Ave 104
Libertyville, IL 60048-4723
Phone: (847) 367-0022
Fax: (847) 680-0696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 042617217 (IL)

Record details

NPI number1578612677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vincenzo Padovano — President · (847) 367-0022
NPI enumeratedJanuary 9, 2007
Last updated in NPPESFebruary 13, 2013
Mailing address890 Garfield Ave, 104, Libertyville, IL 60048-4723

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