Provider Demographics
NPI:1922443688
Name:REPRODUCTIVE HEALTH SPECIALISTS
Entity Type:Organization
Organization Name:REPRODUCTIVE HEALTH SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAREK
Authorized Official - Middle Name:
Authorized Official - Last Name:PIEKOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-730-1100
Mailing Address - Street 1:1515 ESSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-2879
Mailing Address - Country:US
Mailing Address - Phone:815-730-1100
Mailing Address - Fax:815-730-1066
Practice Address - Street 1:1515 ESSINGTON RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-2879
Practice Address - Country:US
Practice Address - Phone:815-730-1100
Practice Address - Fax:815-730-1066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036084420207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty