Provider Demographics
NPI:1629407465
Name:NEW BEGINNINGS OBSTETRICS AND GYNECOLOGY SC
Entity Type:Organization
Organization Name:NEW BEGINNINGS OBSTETRICS AND GYNECOLOGY SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:SAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-517-1677
Mailing Address - Street 1:2127 MIDLANDS CT
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-3119
Mailing Address - Country:US
Mailing Address - Phone:815-517-1677
Mailing Address - Fax:815-517-1669
Practice Address - Street 1:2127 MIDLANDS CT
Practice Address - Street 2:SUITE 204
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-3119
Practice Address - Country:US
Practice Address - Phone:815-517-1677
Practice Address - Fax:815-517-1669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36116949207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty