1639414113 NPI number — UPTODATE HEALTHCARE FOR WOMEN, INC.

Table of content: (NPI 1639414113)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639414113 NPI number — UPTODATE HEALTHCARE FOR WOMEN, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UPTODATE HEALTHCARE FOR WOMEN, INC.
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:
6
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:
1639414113
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/28/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2500 W HIGGINS RD STE 920
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOFFMAN ESTATES
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60169-2048
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-466-7260
Provider Business Mailing Address Fax Number:
847-466-7747

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2500 W HIGGINS RD STE 920
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOFFMAN ESTATES
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60169-2048
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-466-7260
Provider Business Practice Location Address Fax Number:
847-466-7747
Provider Enumeration Date:
12/10/2012

Additional Information

Authorized Official

Authorized Official Last Name:
AKBAR
Authorized Official First Name:
SAMREEN
Authorized Official Middle Name:
Authorized Official Title or Position:
ATTENDING PHYSICIAN / ( DIRECTOR)
Authorized Official Telephone Number:
847-466-7260

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  036.119607 , 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: 1750515367 . This is a "NPI SAMREEN AKBAR, MD." identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: IL8431001 . This is a "PTAN PROVIDER TRANSACTION ACCESS NUMBER" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 036.119607 . This is a "PHYSICIAN & SURGEON LIC. # (IDFPR)" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 1639414113 . This is a "NPI UPTODATE HEALTHCARE FOR WOMEN, INC." identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: IL8431 . This is a "GROUP PTAN" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 1113014432001 . This is a "MEDICARE CONTROL NUMBER" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 532110001 . This is a "MEDICARE ID" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




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