Ob Practice, LLC
NPI #1629386586 in Belleville, Illinois
Provider Information
- NPI Number
- 1629386586
- Entity Type
- Organization
- Organization Name
- Ob Practice, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OB PRACTICE, LLC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Sep 14, 2010
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 4600 MEMORIAL DRIVE
- Address 2
- STE. 400
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226
- Phone
- (618) 234-2390
Authorized Official
- Name
- JAMES B. DAVIS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 257-4644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecology — Gynecology |
| Obstetrics & Gynecology |
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