St Bernard Hospital Ob/Gyn Group
Obstetrics & Gynecology in Chicago, IL. Organization (NPI-2).
NPI number1235680299
StatusActive
Last updated in NPPESOct 14, 2016
Details
- NPI
- 1235680299
- Entity type
- Organization (NPI-2)
- Legal business name
- St Bernard Hospital Ob/Gyn Group
- Organization subpart
- Yes
- Enumeration date
- Oct 14, 2016
- Last updated
- Oct 14, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Practice location
326 W 64th StChicago, IL 60621-3114
Phone 773-962-3900
Mailing address
326 W 64th StChicago, IL 60621-3114
Phone 773-962-3900
Authorized official
Charles Holland
Ceo
7739624100
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