PROVIDEA HEALTH PARTNERS LLC NPI 1770911208

NPI Information

  • NPI: 1770911208
  • Provider Name: PROVIDEA HEALTH PARTNERS, LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: WOMEN'S HEALTHCARE OF ILLINOIS
  • CLIA Number: 14D1011094
  • Address: 10260 191ST ST
    SUITE 100
    MOKENA, IL
    ZIP 60448
  • Phone: (708) 572-7606

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NPI Details

PROVIDEA HEALTH PARTNERS, LLC is an obstetrics gynecology in Mokena, 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. PROVIDEA HEALTH PARTNERS, LLC NPI is 1770911208. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Women's Healthcare Of Illinois.

The provider's business location address is:

10260 191ST ST
SUITE 100
MOKENA, IL
ZIP 60448-801
Phone: (708) 572-7606
Fax: (708) 469-4358

The provider's authorized official is Eileen Johnson .
The authorized official title is Director and has the following contact phone number (708) 945-6470.

The CLIA number assigned to this NPI record is 14D1011094 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/18/2013 and was last updated on 2/5/2024.

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
1207Q00000XFamily MedicineNo
2207V00000XObstetrics & 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: 3/30/2025

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