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

OB GYN Southwest SC

Organization Obstetrics & Gynecology Physician · NPI 1205995321

OB GYN Southwest SC is an Obstetrics & Gynecology Physician in Palos Park, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

13011 S 104th Ave Ste 203
Palos Park, IL 60464-1512
Phone: (708) 923-7900
Fax: (708) 923-7915
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 042-003718 (IL)

Record details

NPI number1205995321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Lindgren — President · (708) 923-7900
NPI enumeratedDecember 6, 2006
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020
Mailing address13011 S 104th Ave Ste 205, Palos Park, IL 60464-1512