NPIMap

Organization Active NPI

Obstetrics, Gynecology & Infertility,S.C.

Doing business as Womens Health Specialists

  • Specialist
  • Park Ridge, IL
National Provider Identifier
1063449924
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
163659 Issued in IL
Legal business name
OBSTETRICS, GYNECOLOGY & INFERTILITY,S.C.
Doing business as
Womens Health Specialists
Practice address
1875 Dempster St
Suite 245
Park Ridge, IL 60068-1186
Phone
(847) 692-9234
Fax
(847) 692-5267
NPI assigned
Jun 27, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Ms. Dorina S Scaunas, MDNPI 1376576488
Title
Physician
Phone
(847) 692-9234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 163659 IL Primary

Addresses

Primary practice location

1875 Dempster St
Suite 245
Park Ridge, IL 60068-1186

Mailing address

1875 Dempster St
Suite 245
Park Ridge, IL 60068-1186
Phone (847) 692-9234

Other names 1

  • Womens Health Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041116000110 IL Part B Supplier - Clinic/Group Practice 7315901774 Receives reassigned benefits from 8 practitioners
Practice locations: Deer Park, IL; Park Ridge, IL; Third Lake, IL

National Provider Directory

National Provider Directory

Locations

21660 W Field Pkwy
Fl 3
Deer Park, IL 60010
Phone (847) 692-9234

18941 W Washington St Ste 100
Grayslake, IL 60030

1875 Dempster St
Ste 245
Park Ridge, IL 60068
Phone (847) 692-9234

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1063449924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE 245",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-692-9234",
            "fax_number": "847-692-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE 245",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-692-9234",
            "fax_number": "847-692-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS, GYNECOLOGY & INFERTILITY,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "SCAUNAS",
        "authorized_official_first_name": "DORINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-692-9234",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "163659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womens Health Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.