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SUBURBAN WOMENS HEALTH SPECIALISTS LTD NPI 1972786762


NPI Information

NPI: 1972786762
Provider Name: SUBURBAN WOMENS HEALTH SPECIALISTS LTD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 14D0962050

Address:
2971 W ALGONQUIN RD
SUITE 107
ALGONQUIN, IL
ZIP 60102
Phone: (847) 458-2400
Get Directions

SUBURBAN WOMENS HEALTH SPECIALISTS LTD is an obstetrics gynecology in Algonquin, 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. SUBURBAN WOMENS HEALTH SPECIALISTS LTD NPI is 1972786762. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2971 W ALGONQUIN RD
SUITE 107
ALGONQUIN, IL
ZIP 60102-406
Phone: (847) 458-2400
Fax: (847) 458-2012

The provider's authorized official is Terry L Frank .
The authorized official title is Practice Manager and has the following contact phone number (847) 931-4747.

The CLIA number assigned to this NPI record is 14D0962050 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/14/2007 and was last updated on 10/24/2017.


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
1207V00000XObstetrics & Gynecology042007882ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036064786MEDICAIDILLINOIS
2G72904MEDICARE UPINILLINOIS
3036093466MEDICAIDILLINOIS
4E18974MEDICARE UPINILLINOIS

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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