| Organization Name: | OAK BROOK FERTILITY CENTER, LTD. |
| NPI Number: | 1043348477 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | W. PAUL DMOWSKI (OWNER) |
| Mailing Address: | 2425 W 22nd St Ste. 102 Oak Brook |
| State: | IL US |
| Postal Code: | 605231245 |
| Phone Number: | 6309540054 |
| Fax Number: | 6309540064 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0006X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Fertility Facility |
| Taxonomy Definition: | A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) |