LIBERTYVILLE OBGYN S.C. – NPI #1578612677
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

LIBERTYVILLE OBGYN S.C. is a provider located in LIBERTYVILLE, IL. NPPES has assigned the NPI number 1578612677 to LIBERTYVILLE OBGYN S.C. on January 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 13 years ago on Feb 13, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIBERTYVILLE OBGYN S.C. below.

NPI Profile for
LIBERTYVILLE OBGYN S.C.

NPI Number
1578612677
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIBERTYVILLE OBGYN S.C.
Primary location
890 GARFIELD AVE
104
LIBERTYVILLE, IL 60048-4723
Phone: (847) 367-0022 Fax: (847) 680-0696
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VINCENZO PADOVANO
PRESIDENT
Phone: (847) 367-0022
Updated
Identifiers

Identifiers for LIBERTYVILLE OBGYN S.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSIL04923732
OTHERREGISTERED MEDICAL CORPIL042617217
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)		 IL 042617217

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.