Organization Active NPI

Center for Women

  • Obstetrics & Gynecology Physician
  • Melrose Park, IL
National Provider Identifier
1063502813
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CENTER FOR WOMEN
Practice address
1419 W Lake St
Suite B
Melrose Park, IL 60160
Phone
(708) 343-2095
Fax
(708) 343-2116
NPI assigned
Oct 13, 2006
Last updated
Feb 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Jean C Alexandre Sr., MDNPI 1740391531
Title
President
Phone
(708) 343-2095

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
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

1419 W Lake St
Suite B
Melrose Park, IL 60160

Mailing address

1419 W Lake St
Suite B
Melrose Park, IL 60160
Phone (708) 343-2095

Other identifiers 1

IdentifierTypeStateIssuer
P00097419OtherILRR MEDICARE

National Provider Directory

National Provider Directory

Locations

33186 Treasury Ctr
Chicago, IL 60694

1419 W Lake St
Ste B
Melrose Park, IL 60160
Phone (708) 343-2095

Practitioners & affiliated clinicians

Practitioners 3

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1063502813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 W LAKE ST",
            "address_2": "SUITE B",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-343-2095",
            "fax_number": "708-343-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 W LAKE ST",
            "address_2": "SUITE B",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-343-2095",
            "fax_number": "708-343-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-343-2095",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00097419",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.