Provider Demographics
NPI:1235784760
Name:GYNECOLOGIC SURGERY & MENOPAUSE SOLUTIONS PC
Entity Type:Organization
Organization Name:GYNECOLOGIC SURGERY & MENOPAUSE SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:GARCINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-242-0625
Mailing Address - Street 1:1131 W JEFFERSON ST # 365
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60404-0701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1890 SILVER CROSS BLVD STE 445
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-9622
Practice Address - Country:US
Practice Address - Phone:815-242-0625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty