MEDICARE: THE INSTITUTE FOR HUMAN REPRODUCTION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1093745366	OTHER	IL	NATIONAL PROVIDER IDENTIFIER
2	1346637709	OTHER		NATIONAL PROVIDER IDENTIFIER
3	1528166626	OTHER	IL	NATIONAL PROVIDER IDENTIFIER
4	1134166531	OTHER	IL	NATIONAL PROVIDER IDENTIFIER
5	1548242423	OTHER	IL	NATIONAL PROVIDER IDENTIFIER
6	1801277736	OTHER		NATIONAL PROVIDER IDENTIFIER

General Provider Information

NPI Number	:	1407078801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE INSTITUTE FOR HUMAN REPRODUCTION

Provider Business Mailing Address
First Line	:	680 N LAKE SHORE DR STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-4447
Country	:	US
Telephone Number	:	312-288-6420
Fax Number	:	312-288-6421

Provider Business Practice Location Address
First Line	:	680 N LAKE SHORE DR STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-4447
Country	:	US
Telephone Number	:	312-288-6420
Fax Number	:	312-288-6421

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. KRISTINA MUSLEH
Credential	:
Telephone Number	:	312-288-6420

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/15/2025

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Directions to “THE INSTITUTE FOR HUMAN REPRODUCTION ” Practice Location

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