Provider Demographics
NPI:1659995348
Name:RINEHART FERTILITY CENTER, S.C.
Entity Type:Organization
Organization Name:RINEHART FERTILITY CENTER, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:RN, JD
Authorized Official - Phone:630-220-2233
Mailing Address - Street 1:121 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3765
Mailing Address - Country:US
Mailing Address - Phone:630-366-5100
Mailing Address - Fax:
Practice Address - Street 1:4400 W 95TH ST STE 303
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2659
Practice Address - Country:US
Practice Address - Phone:630-366-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-29
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty