1982808150 NPI number — WOMEN'S HEALTH PHYSICIANS, S.C.

Table of content: (NPI 1982808150)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982808150 NPI number — WOMEN'S HEALTH PHYSICIANS, S.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOMEN'S HEALTH PHYSICIANS, S.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982808150
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2088 OGDEN AVE
Provider Second Line Business Mailing Address:
SUITE 270
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60504-4376
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-236-4273
Provider Business Mailing Address Fax Number:
630-236-4299

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2088 OGDEN AVE
Provider Second Line Business Practice Location Address:
SUITE 270
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60504-4376
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-236-4273
Provider Business Practice Location Address Fax Number:
630-236-4299
Provider Enumeration Date:
06/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
OLABI
Authorized Official First Name:
NIZAR
Authorized Official Middle Name:
F.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
630-236-4273

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 036097639 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1093701575 . This is a "NPI FOR O ORONSAYE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 036094459 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1023004504 . This is a "NPI FOR N OLABI" identifier . This identifiers is of the category "OTHER".




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