Womens Healthcare Associates of Il, SC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

036108162 Issued in IL

Legal business name

WOMENS HEALTHCARE ASSOCIATES OF IL, SC

Practice address

17901 Governors Hwy
Suite 103
Homewood, IL 60430-1144

Phone

(708) 799-6450

Fax

(708) 799-6560

NPI assigned

Apr 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Biren P Shah, M.D.NPI 1740280114

Title

President

Phone

(708) 799-6450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Biren P Shah, M.D.

  • Obstetrics & Gynecology Physician
  • Homewood, IL
  • NPI 1740280114
  Medicare reassignment Care Compare group NPD Authorized official
• Anjali Thukral, M.D.

  • Obstetrics & Gynecology Physician
  • Homewood, IL
  • NPI 1902954381
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1013135771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2190",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621085",
            "telephone_number": "708-799-6450",
            "fax_number": "708-799-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY",
            "address_2": "SUITE 103",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301144",
            "telephone_number": "708-799-6450",
            "fax_number": "708-799-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTHCARE ASSOCIATES OF IL, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BIREN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-799-6450",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "036108162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traniyah Lashay Wilson
• Rachel Marie Winters, LPC
• Laura Wodarski, OTR/L
• Lonn Wolf, PH.D.
• Duane Eugene Wolff, D.D.S.
• Dorian S Woods, M.D.
• Kenitra Woods
• Krista Woods, M.S.W, LCSW
• Linda J. Wright, PSY.D.
• Susan Yacobellis

• Obstetrics Physician in Homewood, IL
• Providers in Homewood, IL by specialty
• Obstetrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.