ILLINOIS WOMEN'S HEALTH CENTER NPI 1083989578

NPI Information

  • NPI: 1083989578
  • Provider Name: ILLINOIS WOMEN'S HEALTH CENTER
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Address: 5401 N KNOXVILLE AVE
    SUITE 114
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 683-0200

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NPI Details

ILLINOIS WOMEN'S HEALTH CENTER is a gynecology obstetrics gynecology in Peoria, IL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee ILLINOIS WOMEN'S HEALTH CENTER NPI is 1083989578. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5401 N KNOXVILLE AVE
SUITE 114
PEORIA, IL
ZIP 61614-098
Phone: (309) 683-0200
Fax: (309) 683-0201

The provider's authorized official is Lindsey A Ma .
The authorized official title is Owner/supervising Physician and has the following contact phone number (309) 683-0200.

The enumeration date for this NPI number is 3/15/2012 and was last updated on 3/15/2012.

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
1207VG0400XObstetrics & GynecologyGynecology036083144ILLINOISNo
2207VG0400XObstetrics & GynecologyGynecology209001128ILLINOISYes

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: 3/30/2025

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