Provider Type Icon

MIDWEST WOMEN OB-GYNE LTD NPI 1679652523


NPI Information

NPI: 1679652523
Provider Name: MIDWEST WOMEN OB-GYNE LTD

Former Legal Business Name: MIDWEST WOMEN OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 14D0677845

Address:
3825 HIGHLAND AVE
TOWER 1 SUITE 2F
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 852-3762
Get Directions

MIDWEST WOMEN OB-GYNE LTD is an obstetrics gynecology in Downers Grove, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MIDWEST WOMEN OB-GYNE LTD NPI is 1679652523. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Midwest Women Ob/gyn.

The provider's business location address is:

3825 HIGHLAND AVE
TOWER 1 SUITE 2F
DOWNERS GROVE, IL
ZIP 60515-552
Phone: (630) 852-3762
Fax: (630) 852-4087

The provider's authorized official is Shamita Bansore .
The authorized official title is Physician/owner and has the following contact phone number (630) 852-3762.

The CLIA number assigned to this NPI record is 14D0677845 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/3/2006 and was last updated on 1/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.