Organization Active NPI

Women First Specialists, S.C.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1205837119
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36087120 Issued in IL
Legal business name
WOMEN FIRST SPECIALISTS, S.C.
Doing business as
Women First Specialists, S.C.
Practice address
6121 N Elston Ave
Chicago, IL 60646-4703
Phone
(773) 792-0209
Fax
(773) 792-0112
NPI assigned
Aug 2, 2005
Last updated
Jun 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Raynelda Hidalgo, MDNPI 1508907726
Title
President
Phone
(773) 792-0209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 36059468 IL
Obstetrics & Gynecology Physician 207V00000X 36087120 IL Primary
Obstetrics Physician 207VX0000X 36112532 IL
Obstetrics Physician 207VX0000X 36122486 IL

Addresses

Primary practice location

6121 N Elston Ave
Chicago, IL 60646-4703

Mailing address

6121 N Elston Ave
Chicago, IL 60646-4703
Phone (773) 792-0209

Other identifiers 6

IdentifierTypeStateIssuer
36087120MedicaidIL
36059468MedicaidIL
1205837119OtherILBCBS OF ILLINOIS
36122486MedicaidIL
36112532MedicaidIL
036112532MedicaidIL

Other names 1

  • WOMEN FIRST SPECIALISTS, S.C. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051028000927 IL Part B Supplier - Clinic/Group Practice 3971520909 Receives reassigned benefits from 3 practitioners
Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0871201Women First Specialists SC6121 N Elston Ave, Chicago, IL 60646Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2800 N Sheridan Rd
#205
Chicago, IL 60657
Phone (773) 525-0000

2845 N Sheridan Rd
Ste 712
Chicago, IL 60657
Phone (773) 525-0000

331 W Surf St
Ste 712
Chicago, IL 60657
Phone (773) 525-0000

6121 N Elston Ave
Chicago, IL 60646
Phone (773) 792-0209

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1205837119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464703",
            "telephone_number": "773-792-0209",
            "fax_number": "773-792-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464703",
            "telephone_number": "773-792-0209",
            "fax_number": "773-792-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN FIRST SPECIALISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "RAYNELDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-792-0209",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "36059468",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "36087120",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "36112532",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "36122486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36087120",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36059468",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "1205837119",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36122486",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36112532",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036112532",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOMEN FIRST SPECIALISTS, S.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOMEN FIRST SPECIALISTS, S.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.