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OB GYN CARE LLC
NPI 1790945103
Obstetrics & Gynecology in O Fallon, IL

Active since June 10, 2008
1512 N GREEN MOUNT RD, SUITE 107, O FALLON, IL 62269(618) 628-1717(618) 628-1789 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ob Gyn Care Llc NPPES

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

OB GYN CARE LLC (NPI 1790945103) is a healthcare organization registered as an obstetrics & gynecology in O Fallon, Illinois and active in the NPI registry since June 2008. The organization lists Bradley J Tissier, Member, as its authorized official.

NPPES Registry Identity

NPI1790945103
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameOB GYN CARE LLC
Location Address1512 N GREEN MOUNT RD, SUITE 107O Fallon, IL 62269-1953
Mailing Address1512 N Green Mount Rd, Suite 107O Fallon, IL 62269-1953 · (618) 628-1717 · Fax (618) 628-1789
Phone(618) 628-1717
Fax(618) 628-1789
Organization SubpartNo
Authorized OfficialBradley J TissierMember · (618) 628-1717
Enumeration DateJune 10, 2008
✔ NPI 1790945103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036097979
Definition
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.
Also ListedSurgeryTaxonomy 208600000X · License 036097979 (IL)
1512 N GREEN MOUNT RD, O Fallon, IL 62269
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Clinic/Center
1512 N GREEN MOUNT RD, SUITE 200
O FALLON, IL 62269
St. Clair County (618) 234-2120
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O FALLON, IL 62269
St. Clair County (618) 624-5510
VERONICA MINERVA CONTASTI MD
Internal Medicine
1512 N GREEN MOUNT RD
O FALLON, IL 62269
St. Clair County (872) 985-7137
LA SANTE WISCONSIN INC.
Durable Medical Equipment & Medical Supplies
1512 N GREEN MOUNT RD
O FALLON, IL 62269
St. Clair County (920) 465-3000
GREGORY CESAR CLIMACO MD
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O'FALLON, IL 62269
St. Clair County (618) 624-5510
VITUITY - ILLINOIS AUC LLP
Emergency Medicine
1512 N GREEN MOUNT RD
O FALLON, IL 62269
St. Clair County (618) 624-3750
MIDWEST EMERGENCY MANAGEMENT, INC.
Clinic/Center (Urgent Care)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
St. Clair County (618) 624-3750
TARA TOPPER FNP-C
Nurse Practitioner (Family)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
St. Clair County (619) 624-3368

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 Gyn Care LLC's NPI number?

The NPI number for Ob Gyn Care LLC is 1790945103. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Ob Gyn Care LLC located?

Ob Gyn Care LLC is located at 1512 N Green Mount Rd Suite 107, O Fallon, IL 62269. The listed phone number is (618) 628-1717.

What is Ob Gyn Care LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Ob Gyn Care LLC was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.