Healthcare Provider Details

I. General information

NPI: 1548451925
Provider Name (Legal Business Name): RINEHART CENTER FOR REPRODUCTIVE MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 08/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 RIDGE AVE SUITE 200
EVANSTON IL
60201-2455
US

IV. Provider business mailing address

2500 RIDGE AVE SUITE 200
EVANSTON IL
60201-2455
US

V. Phone/Fax

Practice location:
  • Phone: 847-869-7777
  • Fax: 630-869-7782
Mailing address:
  • Phone: 847-869-7777
  • Fax: 630-869-7782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateIL

VIII. Authorized Official

Name: MRS. CAROLYN CAMPBELL
Title or Position: ADMINISTRATIVE MANAGER
Credential:
Phone: 630-221-8131