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OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
NPI 1417093808
Specialist in Lake Forest, IL

Active since January 30, 2007CLIA 14D0875144 · Microscopy
959 S. WAUKEGAN RD, FLOOR 2, LAKE FOREST, IL 60045(847) 234-3250(847) 234-8155 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ob-gyne Associates Of Lake Forest, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OB-GYNE ASSOCIATES OF LAKE FOREST, LTD. (NPI 1417093808) is a healthcare organization registered as a specialist in Lake Forest, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through August 17, 2027 and lists Michael J Hubbell, President, as its authorized official.

NPPES Registry Identity

NPI1417093808
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
Location Address959 S. WAUKEGAN RD, FLOOR 2Lake Forest, IL 60045
Mailing Address959 S. Waukesan Rd, Floor 2Lake Forest, IL 60045 · (847) 234-3250 · Fax (847) 234-8155
Phone(847) 234-3250
Fax(847) 234-8155
Organization SubpartNo
Authorized OfficialMichael J HubbellPresident · (847) 234-3250
Enumeration DateJanuary 30, 2007
Last NPPES UpdateMarch 2, 2015
✔ NPI 1417093808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 042001387 036084828
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
959 S. WAUKEGAN RD, Lake Forest, IL 60045
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Other Identifiers 11

Medicaid036084302IL
Medicaid036092828IL
OtherCF6069IL · Railroad Medicare
Medicare UPINC37542IL
Medicaid036103613IL
Medicaid036067565IL
Other04915672Bcbs
Medicare UPING25908IL
Medicare UPINI11528IL
Medicare UPINH58544IL
Medicare UPINF385593IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0875144

Ob-Gyne Associates Of Lake Forest, Ltd · Lake Forest, IL
Active · expires Aug 17, 2027
CLIA Number14D0875144
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorMaureen E. Tart
Laboratory Phone(847) 234-3250
Laboratory LocationOb-Gyne Associates Of Lake Forest, Ltd959 S Waukegan Rd 2nd Floor, Lake Forest, IL 60045
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ob-Gyne Associates Of Lake Forest, Ltd.'s NPI number?

The NPI number for Ob-Gyne Associates Of Lake Forest, Ltd. is 1417093808. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Ob-Gyne Associates Of Lake Forest, Ltd. located?

Ob-Gyne Associates Of Lake Forest, Ltd. is located at 959 S. Waukegan Rd Floor 2, Lake Forest, IL 60045. The listed phone number is (847) 234-3250.

What is Ob-Gyne Associates Of Lake Forest, Ltd.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Ob-Gyne Associates Of Lake Forest, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0875144) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ob-Gyne Associates Of Lake Forest, Ltd. was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.