Basic Information
| Provider Information | |||||||||
| NPI: | 1821330747 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MIDWEST CENTER FOR WOMEN'S HEALTH CARE, LTD. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 SKOKIE BLVD STE 400 | ||||||||
| Address2: | |||||||||
| City: | NORTHBROOK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600622820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475621410 | ||||||||
| FaxNumber: | 8475620830 | ||||||||
| Practice Location | |||||||||
| Address1: | 4905 OLD ORCHARD CTR STE 200 | ||||||||
| Address2: | |||||||||
| City: | SKOKIE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600771462 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8476733130 | ||||||||
| FaxNumber: | 8476733183 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/18/2013 | ||||||||
| LastUpdateDate: | 03/18/2013 | ||||||||
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| AuthorizedOfficialLastName: | BRODSKY | ||||||||
| AuthorizedOfficialFirstName: | ERIC | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR, BILLING AND OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 8475621410 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.