Provider Demographics
NPI:1003965138
Name:ASSOCIATED OBSTETRICIANS & GYNECOLOGISTS
Entity Type:Organization
Organization Name:ASSOCIATED OBSTETRICIANS & GYNECOLOGISTS
Other - Org Name:WOMEN FIRST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BUJEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-775-2180
Mailing Address - Street 1:7447 W TALCOTT AVE
Mailing Address - Street 2:SUITE 418
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3745
Mailing Address - Country:US
Mailing Address - Phone:773-775-2180
Mailing Address - Fax:773-775-8996
Practice Address - Street 1:7447 W TALCOTT AVE
Practice Address - Street 2:SUITE 418
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3745
Practice Address - Country:US
Practice Address - Phone:773-775-2180
Practice Address - Fax:773-775-8996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1621141OtherBLUE SHIELD PROVIDER ID
IL282810Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID