NPIMap

Organization Active NPI

Comprehensive Womens Center

  • Specialist
  • Wheeling, IL
National Provider Identifier
1164566345
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042617403 Issued in IL
Legal business name
COMPREHENSIVE WOMENS CENTER
Practice address
1083 E Lake Cook Rd
Wheeling, IL 60090-2502
Phone
(847) 808-7070
Fax
(847) 808-7474
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Mary C Chlipala
Title
Practice Administrator
Phone
(847) 808-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 042617403 IL Primary

Addresses

Primary practice location

1083 E Lake Cook Rd
Wheeling, IL 60090-2502

Mailing address

1083 E Lake Cook Rd
Wheeling, IL 60090-2502
Phone (847) 808-7070

Other identifiers 2

IdentifierTypeStateIssuer
06123696OtherILBCBS
036091075MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1164566345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 E LAKE COOK RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902502",
            "telephone_number": "847-808-7070",
            "fax_number": "847-808-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 E LAKE COOK RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902502",
            "telephone_number": "847-808-7070",
            "fax_number": "847-808-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WOMENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "CHLIPALA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "847-808-7070"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "042617403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06123696",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091075",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.