NPI 1588748404

Nothwestern Reproductive Genetics

Organisation Ph.D. Medical Genetics Physician Chicago, IL

Practice location

Address: 680 N Lake Shore Dr STE 1428, Chicago, IL 60611-4546
Phone: (312) 981-4400
Mailing address: 680 N Lake Shore Dr, Chicago, IL 60611-4546

Authorised official

Name: Eugene Pergament
Title: Pysician
Phone: (847) 429-0571

Registered specialties

Ph.D. Medical Genetics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0205X

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Registry record

NPI: 1588748404
Entity type: Organization
NPI issued: 25 Oct 2006
Record last updated: 21 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.