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

Northern Illinois Fertility SC

Organization Obstetrics & Gynecology Physician · NPI 1619962859

Northern Illinois Fertility SC is an Obstetrics & Gynecology Physician in Dekalb, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
Specialties on file
3

Practice location Address checks out

625 Bethany Rd Ste 1
Dekalb, IL 60115-4908
Phone: (815) 758-8621
Fax: (815) 758-5838
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X (IL)
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X (IL)
Advanced Practice Midwife Taxonomy 367A00000X (IL)

Record details

NPI number1619962859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Baumgart — Owner · (815) 758-8621
NPI enumeratedSeptember 14, 2005
Last updated in NPPESJuly 21, 2022
Mailing address625 Bethany Rd, Suite 1, Dekalb, IL 60115-4908

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