Healthcare Provider Details

I. General information

NPI: 1407078801
Provider Name (Legal Business Name): THE INSTITUTE FOR HUMAN REPRODUCTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 N LAKE SHORE DR STE 100
CHICAGO IL
60611-4447
US

IV. Provider business mailing address

680 N LAKE SHORE DR STE 100
CHICAGO IL
60611-4447
US

V. Phone/Fax

Practice location:
  • Phone: 312-288-6420
  • Fax: 312-288-6421
Mailing address:
  • Phone: 312-288-6420
  • Fax: 312-288-6421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. KRISTINA MUSLEH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 312-288-6420