Provider Demographics
NPI:1437472537
Name:REPRODUCTIVE MEDICINE INSTITUTE, LLC
Entity Type:Organization
Organization Name:REPRODUCTIVE MEDICINE INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EVERHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-954-0054
Mailing Address - Street 1:2425 W 22ND ST STE 102
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-4643
Mailing Address - Country:US
Mailing Address - Phone:630-954-0054
Mailing Address - Fax:630-954-0064
Practice Address - Street 1:2425 W 22ND ST STE 102
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-4643
Practice Address - Country:US
Practice Address - Phone:630-954-0054
Practice Address - Fax:630-954-0064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty