1477740645 NPI number — PHYSICIANS JUST FOR WOMEN, LTD.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477740645 NPI number — PHYSICIANS JUST FOR WOMEN, LTD.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PHYSICIANS JUST FOR WOMEN, LTD.
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:
1477740645
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/01/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2260 W HIGGINS RD
Provider Second Line Business Mailing Address:
STE 202
Provider Business Mailing Address City Name:
HOFFMAN ESTATES
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60169-2431
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-519-7000
Provider Business Mailing Address Fax Number:
847-885-2627

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2260 W HIGGINS RD
Provider Second Line Business Practice Location Address:
STE 202
Provider Business Practice Location Address City Name:
HOFFMAN ESTATES
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60169-2431
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-519-7000
Provider Business Practice Location Address Fax Number:
847-885-2627
Provider Enumeration Date:
10/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LAMOND
Authorized Official First Name:
NADINE
Authorized Official Middle Name:
CATHERINE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
847-519-7000

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)





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