Organization Active NPI

Naperville Womens Health Care, PC

  • Specialist
  • Naperville, IL
National Provider Identifier
1063695237
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036089280 Issued in IL
Legal business name
NAPERVILLE WOMENS HEALTH CARE, PC
Practice address
720 Brom CT Ste 104
Naperville, IL 60540-6533
Phone
(630) 717-9977
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Liana C Lucaric, MDNPI 1265566319
Title
Physician
Phone
(630) 717-9977

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: 193200000X MULTI-SPECIALTY GROUP 174400000X 036089280 IL Primary

Addresses

Primary practice location

720 Brom CT Ste 104
Naperville, IL 60540-6533

Mailing address

720 Brom CT Ste 104
Naperville, IL 60540-6533
Phone (630) 717-9977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080707000163 IL Part B Supplier - Clinic/Group Practice 0042382194 Receives reassigned benefits from 6 practitioners
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1063695237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BROM CT STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406533",
            "telephone_number": "630-717-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BROM CT STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406533",
            "telephone_number": "630-717-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE WOMENS HEALTH CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "LUCARIC",
        "authorized_official_first_name": "LIANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-717-9977",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036089280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.