Illinois Women's Health Center

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

209001128 Issued in IL

Legal business name

ILLINOIS WOMEN'S HEALTH CENTER

Practice address

5401 N Knoxville Ave
Suite 114
Peoria, IL 61614-5098

Phone

(309) 683-0200

Fax

(309) 683-0201

NPI assigned

Mar 15, 2012

Last updated

Mar 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lindsey A Ma, M.D.NPI 1285688820

Title

Owner/Supervising Physician

Phone

(309) 683-0200

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Lindsey A Ma, M.D.

  • Obstetrics Physician
  • Peoria, IL
  • NPI 1285688820
  Authorized official Same address or phone

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1083989578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 114",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-683-0200",
            "fax_number": "309-683-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 114",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-683-0200",
            "fax_number": "309-683-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS WOMEN'S HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "309-683-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "209001128",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036083144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illinois Regional Pain Institute, S.C.
• Illinois Specialty Physician Services at Osf, LLC (Illinois Lung and Critical Care Institute)
• Illinois Surgical Specialists, LTD
• Illinois Valley Podiatry Group PC
• Illinois West Central Home Care Corp (Visiting Angels of Peoria)
• Illuminated Wellness
• In-Home Physical Therapy
• Rosemary Ince
• Thad Indermuhle
• Thomas F Ingersoll, MD

• Gynecology Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.