CHICAGO METROPOLITAN OBSTETRICIANS & GYNECOLOGISTS, LTD (NPI# 1306913454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306913454 |
| Entity Type | Organization |
| Organization Name | CHICAGO METROPOLITAN OBSTETRICIANS & GYNECOLOGISTS, LTD |
| Practice Address |
15620 S. Wood Street Harvey IL 60426-4171 |
| Mailing Address |
Po Box 4685 Chicago IL 60680-4685 |
| Practice Telephone | 7083333030 |
| Practice Fax Number | 7083337453 |
| Mailing Telephone | 7083333030 |
| Mailing Fax Number | 7083337453 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2013-05-20 |
| Authorized Official Name | MR. ERNEST A. HAYES (PRESIDENT/CEO) |
| Authorized Official Telephone | 7083333030 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | 036043976 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036110499 REDHEAD | 05 | |
| IL | 036043976 | 05 | |
| IL | MEDICARE GROUP NUMBER | 212568 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 01630253 | 01 |
| IL | CMOB NPI NUMBER | 1306913454 | 01 |
| IL | 036100768 JAMES | 05 | |
| IL | NPI NUMBER REDHEAD | 1447283445 | 01 |
| IL | NPI NUMBER JAMES | 1659385128 | 01 |
| IL | PROVIDERS TAXONOMIES | 207V00000X | 01 |
| IL | MEDICARE GROUP PIN | 212568 | 01 |
| Street Address |
15620 S. WOOD STREET |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-4171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417344722 | Farren Marie Ancar | Obstetrics & Gynecology | 436 Fos Ave, Harvey, LA 70058 | 2015-04-24 |
| 1013925387 | Goldwyn Bonner Foggie | Obstetrics & Gynecology | 15620 Wood St, Harvey, IL 60426-4171 | 2006-08-03 |
| 1659385128 | Sharon Michele James | Obstetrics & Gynecology | 15620 South Wood Street, Harvey, IL 60426-4171 | 2006-07-28 |
| 1356370100 | Womens Center A Medical Corporation | Obstetrics & Gynecology | 61 Magnolia Trace Dr, Harvey, LA 70058-6112 | 2006-07-02 |
| 1619324605 | Aishat Mobosola Adebisi | Obstetrics & Gynecology | 31 W 155th St, Harvey, IL 60426-3556 | 2016-05-19 |
| 1609216084 | Chicago Metropolitan Obstetricians Gynecologists and Pediatricians | Obstetrics & Gynecology | 15620 South Wood Street, Harvey, IL 60426-4171 | 2013-06-28 |
| 1407082175 | Manoj K Biswas | Obstetrics & Gynecology | 3909 Lapalco Blvd, 200, Harvey, LA 70058-2302 | 2009-06-08 |
| 1083776678 | Ernest Anderson Hayes | Obstetrics & Gynecology | 31 W 155th St, Harvey, IL 60426-3556 | 2006-12-14 |
| 1942362389 | The Woman's Clinic of Marrero Inc | Obstetrics & Gynecology | 3909 Lapalco Blvd, Ste 200, Harvey, LA 70058-2302 | 2006-12-14 |
| 1972545358 | Bari Alexis Parks-ballard | Obstetrics & Gynecology | 31 W 155th St, Harvey, IL 60426-3556 | 2006-06-12 |
| Find all providers in HARVEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.