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ILLINOIS WOMEN'S HEALTH CENTER NPI 1083989578


NPI Information

NPI: 1083989578
Provider Name: ILLINOIS WOMEN'S HEALTH CENTER
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

CLIA Number: 14D2030447

Address:
5401 N KNOXVILLE AVE
SUITE 114
PEORIA, IL
ZIP 61614
Phone: (309) 683-0200
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ILLINOIS WOMEN'S HEALTH CENTER is a gynecology obstetrics gynecology in Peoria, IL. 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 CLIA number assigned to this NPI record is 14D2030447 - other with a certificate type of Certificate of Waiver.

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 11/14/2023

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