Provider Demographics
NPI:1417699042
Name:APARENT IVF INTERNATIONAL
Entity Type:Organization
Organization Name:APARENT IVF INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:COUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-433-9050
Mailing Address - Street 1:767 PARK AVE W STE 130
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2430
Mailing Address - Country:US
Mailing Address - Phone:847-433-9050
Mailing Address - Fax:847-433-9126
Practice Address - Street 1:767 PARK AVE W STE 130
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2430
Practice Address - Country:US
Practice Address - Phone:847-433-9050
Practice Address - Fax:847-433-9126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty