Illume Fertility, PLLC
Clinic/Center, Ambulatory Fertility Facility in Norwalk, Connecticut
1013179902- Practice location
- 761 Main Ave, Suite 200, Norwalk, CT 06851-1080
- Phone
- 203-750-7400
- Fax
- —
- Last updated
- April 4, 2022
Illume Fertility, PLLC is a healthcare organization based in Norwalk, CT. Illume Fertility, PLLC practices in Norwalk, CT. The NPI Number for Illume Fertility, PLLC is 1013179902 and holds a License No. 0320 (CT). The current practice location address for Illume Fertility, PLLC is 761 Main Ave, Suite 200, Norwalk, CT 06851-1080 and can be reached out via phone at 203-750-7400.
Provider Profile Details
- NPI Number
- 1013179902
- Provider Name
- Illume Fertility, PLLC
- Provider Entity Type
- Organization
- Address
- 761 Main Ave, Suite 200, Norwalk, CT 06851-1080
- Phone Number
- 203-750-7400
- Primary Taxonomy
- Clinic/Center, Ambulatory Fertility Facility · 261QA0006X
- Organization Subpart
- No
- Authorized Official
- Robin Mangieri · Ceo · 203-750-7400
- Other Names
- Ambulatory Surgical Center At Reproductive Medicine (Other Name)
- Provider Enumeration Date
- July 1, 2008
- Last Update Date
- April 4, 2022
- Certification Date
- April 4, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 761 Main Ave
Suite 200
Norwalk, CT 06851-1080 - City
- Norwalk
- State
- Connecticut
- Zip
- 06851-1080
- Phone Number
- 203-750-7400
Provider Business Mailing Address Details
- Address
- 761 Main Ave
Suite 200
Norwalk, CT 06851-1080 - City
- Norwalk
- State
- CT
- Zip
- 06851-1080
- Phone Number
- 203-750-7400
License Information
- License Number (1)
- 0320
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center, Ambulatory Surgical · 261QA1903X
- Taxonomy (2)
- Clinic/Center, Ambulatory Fertility Facility · 261QA0006X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Illume Fertility, PLLC?
The NPI number of Illume Fertility, PLLC is 1013179902. It was assigned on July 1, 2008 and is currently active in the NPPES registry.
What is the specialty of Illume Fertility, PLLC?
Illume Fertility, PLLC is registered under the primary taxonomy Clinic/Center, Ambulatory Fertility Facility (code 261QA0006X), licensed in CT under license number 0320.
Where does Illume Fertility, PLLC practice?
The practice location is 761 Main Ave, Suite 200, Norwalk, CT 06851-1080. The office can be reached at 203-750-7400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013179902 directly on the NPPES registry website.