Organization Active NPI

Lifecircle Womens Health SC

  • Obstetrics & Gynecology Physician
  • Palos Heights, IL
National Provider Identifier
1104049782
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LIFECIRCLE WOMENS HEALTH SC
Practice address
7800 W College Drive
Palos Heights, IL 60463-1007
Phone
(708) 361-2400
Fax
(708) 361-1592
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kimberly Anne Mullin, MD
Title
President
Phone
(708) 301-6751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

7800 W College Drive
Palos Heights, IL 60463-1007

Mailing address

7800 W College Drive
Palos Heights, IL 60463-1007
Phone (708) 361-2400

National Provider Directory

National Provider Directory

Locations

7800 W College Dr
Palos Heights, IL 60463
Phone (708) 361-2400

7800 W College Dr
Ste 2SW
Palos Heights, IL 60463
Phone (708) 361-2400

7800 W College Dr
Ste 2
Palos Heights, IL 60463

Practitioners & affiliated clinicians

Practitioners 1

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104049782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 W COLLEGE DRIVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631007",
            "telephone_number": "708-361-2400",
            "fax_number": "708-361-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W COLLEGE DRIVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631007",
            "telephone_number": "708-361-2400",
            "fax_number": "708-361-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECIRCLE WOMENS HEALTH SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-301-6751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.