Provider Demographics
NPI:1154514438
Name:WEST SUBURBAN OBSTETRICS & GYNECOLOGY LTD
Entity type:Organization
Organization Name:WEST SUBURBAN OBSTETRICS & GYNECOLOGY LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARBOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-620-8061
Mailing Address - Street 1:500 E 22ND STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-6102
Mailing Address - Country:US
Mailing Address - Phone:630-620-8061
Mailing Address - Fax:630-916-7525
Practice Address - Street 1:500 E 22ND STREET
Practice Address - Street 2:SUITE A
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-6102
Practice Address - Country:US
Practice Address - Phone:630-620-8061
Practice Address - Fax:630-916-7525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036055553207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty