Provider Demographics
NPI:1528240207
Name:SALTCREEK OBSTRETICS/GYNECOLOGY
Entity type:Organization
Organization Name:SALTCREEK OBSTRETICS/GYNECOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:M
Authorized Official - Last Name:PFISTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-794-9700
Mailing Address - Street 1:950 N YORK RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2950
Mailing Address - Country:US
Mailing Address - Phone:630-794-9700
Mailing Address - Fax:630-794-9711
Practice Address - Street 1:950 N YORK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2950
Practice Address - Country:US
Practice Address - Phone:630-794-9700
Practice Address - Fax:630-794-9711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036058934174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty