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NPI Code Detail

MEDICARE: RINEHART FERTILITY CENTER, S.C.

MEDICARE: RINEHART FERTILITY CENTER, S.C.
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
1207VE0102XReproductive Endocrinology Physician

General Provider Information

NPI Number : 1659995348
Entity Type Code : Organization
Provider Name (Legal Business Name) : RINEHART FERTILITY CENTER, S.C.
Provider Business Mailing Address
First Line : 121 N ELM ST
Second Line :
City : HINSDALE
State : IL
Zip : 60521-3765
Country : US
Telephone Number : 630-366-5100
Fax Number :
Provider Business Practice Location Address
First Line : 4400 W 95TH ST STE 303
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-2659
Country : US
Telephone Number : 630-366-5100
Fax Number :
Authorized Official
Title or Position : CEO
Name : LISA A. RINEHART
Credential : RN, JD
Telephone Number : 630-220-2233
Provider Enumeration Date : 05/29/2020
Last Update Date : 06/03/2020

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