Provider Demographics
NPI:1548321326
Name:AISHLING OBSTETRICS AND GYNECOLOGY, S.C.
Entity type:Organization
Organization Name:AISHLING OBSTETRICS AND GYNECOLOGY, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:N
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:815-786-1088
Mailing Address - Street 1:831 SANDHURST DR
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:IL
Mailing Address - Zip Code:60548-1390
Mailing Address - Country:US
Mailing Address - Phone:815-786-1088
Mailing Address - Fax:815-786-1314
Practice Address - Street 1:831 SANDHURST DR
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:IL
Practice Address - Zip Code:60548-1390
Practice Address - Country:US
Practice Address - Phone:815-786-1088
Practice Address - Fax:815-786-1314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042617813207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty