Active NPI
Melrose Park Women'S Care, S.C.
- Obstetrics & Gynecology Physician
- Melrose Park, IL
National Provider Identifier
1124056700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1635364 | Other | IL | BCBS |
National Provider Directory
National Provider Directory- Tax ID family
- Melrose Park Womens Care SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Hoffman Estates, IL
- NPI 1760698997
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.