Provider Demographics
NPI:1831662931
Name:OVA INSTITUTE LLC
Entity Type:Organization
Organization Name:OVA INSTITUTE LLC
Other - Org Name:OVA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:WAGNER
Authorized Official - Last Name:COUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-800-0228
Mailing Address - Street 1:401 N MICHIGAN AVE STE 1800
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4225
Mailing Address - Country:US
Mailing Address - Phone:312-800-0228
Mailing Address - Fax:
Practice Address - Street 1:401 N MICHIGAN AVE STE 1800
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4225
Practice Address - Country:US
Practice Address - Phone:312-800-0228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center