Planned Parenthood Of Illinois
Clinic/Center in Ottawa, IL. Organization (NPI-2).
NPI number1508272436
StatusActive
Last updated in NPPESOct 17, 2022
Details
- NPI
- 1508272436
- Entity type
- Organization (NPI-2)
- Legal business name
- Planned Parenthood Of Illinois
- Organization subpart
- Yes
- Enumeration date
- Jul 11, 2014
- Certification date
- Oct 17, 2022
- Last updated
- Oct 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Planned Parenthood Chicago Area (Former Legal Business Name)
Practice location
612 Count StreetOttawa, IL 61350-2915
Phone 815-433-4111 · Fax 815-433-9434
Mailing address
17 N State St Ste 500Chicago, IL 60602-3384
Phone 312-592-6800 · Fax 312-592-6801
Authorized official
Erika R Gonzalez
Credentialing Coordinator
3125926892
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