Oak Park Womens Health

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

209.012152 Issued in IL

Legal business name

OAK PARK WOMENS HEALTH

Practice address

1010 Lake St
Oak Park, IL 60301-1147

Phone

(708) 434-4075

NPI assigned

Oct 7, 2015

Organization subpart

No

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

Authorized official

Name

Miss Tatenisha Gardley

Title

Owner

Phone

(708) 434-4075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1043680739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011147",
            "telephone_number": "708-434-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011147",
            "telephone_number": "708-434-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK WOMENS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "GARDLEY",
        "authorized_official_first_name": "TATENISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-434-4075",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "209.012152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Park River Forest Infant Welfare Society (Infant Welfare Clinic)
• Oak Park Sport & Spine SC
• Oak Park Sports Medicine
• Oak Park Township
• Oak Park VA Clinic
• Oak Park Womens Health
• Oak-Leyden Developmental Services
• Raneen Obeidallah
• Candice Oberlies, PA-C
• Mary Beth Obeso, MD

• Gynecology Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.