Bolingbrook Womens Clinic S C

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BOLINGBROOK WOMENS CLINIC S C

Practice address

396 Remington Blvd
Suite 250
Bolingbrook, IL 60440

Phone

(630) 759-2966

Fax

(630) 759-6977

NPI assigned

Oct 26, 2007

Last updated

Jul 21, 2022By 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

Yong J Kim, MDNPI 1093738205

Title

Dr Owner

Phone

(630) 759-2966

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Yong J Kim, MD

  • Obstetrics & Gynecology Physician
  • Bolingbrook, IL
  • NPI 1093738205
  Authorized official Same address or phone
• Ketan Narandas Jobanputra, M.D.

  • Reproductive Endocrinology Physician
  • Hanover Park, IL
  • NPI 1992818827
  NPD (past)
• Smita Ketan Jobanputra, M.D.

  • Obstetrics & Gynecology Physician
  • Bolingbrook, IL
  • NPI 1427242452
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154500114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD",
            "address_2": "SUITE 250",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404920",
            "telephone_number": "630-759-2966",
            "fax_number": "630-759-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD",
            "address_2": "SUITE 250",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60440",
            "telephone_number": "630-759-2966",
            "fax_number": "630-759-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLINGBROOK WOMENS CLINIC S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DR OWNER",
        "authorized_official_telephone_number": "630-759-2966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "09915052",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200963020A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bolingbrook Pharmacy Inc
• Bolingbrook Taxi and Limousine Co
• Bolingbrook Urgent Care LLC
• Bolingbrook Vision Source Inc.
• Bolingbrook Wellness
• Bollingbrook Urgent Care S.C (Bolingbrook Immediate Care)
• Angela Marie Bolokowicz, CCC-SLP
• Angela Yolanda Bond, MD
• Christopher Boniquit, M.D.
• Boughton Family Practice PC

• Obstetrics & Gynecology Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.