Healthcare Provider Details

I. General information

NPI: 1649515933
Provider Name (Legal Business Name): NAPERVILLE FERTILITY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2012
Last Update Date: 11/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 N WASHINGTON ST
NAPERVILLE IL
60540-4780
US

IV. Provider business mailing address

3 N WASHINGTON ST
NAPERVILLE IL
60540-4780
US

V. Phone/Fax

Practice location:
  • Phone: 630-357-6540
  • Fax: 630-357-6435
Mailing address:
  • Phone: 630-357-6540
  • Fax: 630-357-6435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURA OSTROWSKI
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 630-357-6540