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General NPI Number Information
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NPI Number | 1235573197
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Entity Type | Organization
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Legal Business Name | GYNECOLOGY INSTITUTE OF CHICAGO LTD.
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 680 N LAKE SHORE DR STE 1424
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City | CHICAGO
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State | IL
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Zip | 60611-8700
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Country | US
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Telephone | 312-929-9191
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Fax | 312-566-8986
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Provider Business Mailing Address
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Address Line | 680 N LAKE SHORE DR STE 1424
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City | CHICAGO
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State | IL
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Zip | 60611-8700
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Country | US
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Telephone | 312-929-9191
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NICOLE WILLIAMS
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Credential | M.D.
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Telephone | 312-929-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 036116334
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License Number State | IL
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