Organization Active NPI

Melrose Park Women'S Care, S.C.

  • Obstetrics & Gynecology Physician
  • Melrose Park, IL
National Provider Identifier
1124056700
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MELROSE PARK WOMEN'S CARE, S.C.
Practice address
1111 Superior St
Suite 304
Melrose Park, IL 60160-4138
Phone
(847) 839-8800
Fax
(847) 839-8808
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Sheri B Merchant, MD
Title
President
Phone
(708) 344-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1111 Superior St
Suite 304
Melrose Park, IL 60160-4138

Mailing address

PO Box 95763
Hoffman Estates, IL 60195-0763
Phone (708) 344-7800

Other identifiers 1

IdentifierTypeStateIssuer
1635364OtherILBCBS

National Provider Directory

National Provider Directory
Tax ID family
Melrose Park Womens Care SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1111 Superior St
Ste 304
Melrose Park, IL 60160
Phone (708) 344-7800

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1124056700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95763",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601950763",
            "telephone_number": "708-344-7800",
            "fax_number": "708-344-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 304",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "847-839-8800",
            "fax_number": "847-839-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE PARK WOMEN'S CARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-344-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1635364",
            "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 Apr 20, 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.