Organization Active NPI

Gynecology Institute of Chicago LTD.

  • Medical Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1235573197
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
036116334 Issued in IL
Legal business name
GYNECOLOGY INSTITUTE OF CHICAGO LTD.
Practice address
680 N Lake Shore Dr Ste 1424
Chicago, IL 60611-8700
Phone
(312) 929-9191
Fax
(312) 566-8986
NPI assigned
Apr 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Dr. Nicole Williams, M.D.NPI 1164441051
Title
President
Phone
(312) 929-9191

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 036116334 IL Primary

Addresses

Primary practice location

680 N Lake Shore Dr Ste 1424
Chicago, IL 60611-8700

Mailing address

680 N Lake Shore Dr Ste 1424
Chicago, IL 60611-8700
Phone (312) 929-9191

Other practice location 1

1351 W Belmont Ave
Chicago, IL 60657-7195
Phone (312) 929-9191

Other identifiers 1

IdentifierTypeStateIssuer
1164441051OtherPERSONAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130826000520 IL Part B Supplier - Clinic/Group Practice 0042453995 Receives reassigned benefits from 1 practitioner
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
14D2063313Gynecology Institute of Chicago, LTD680 N Lake Shore Dr - Ste 1424, Chicago, IL 60611Certificate of waiverJul 30, 2027
14D2312580The Gynecology Institute of Chicago, LTD1351 W Belmont Ave, Chicago, IL 60657Certificate of waiverOct 14, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1235573197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 1424",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606118700",
            "telephone_number": "312-929-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 1424",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606118700",
            "telephone_number": "312-929-9191",
            "fax_number": "312-566-8986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1351 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606577195",
            "country_code": "US",
            "telephone_number": "312-929-9191",
            "fax_number": "312-566-8986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GYNECOLOGY INSTITUTE OF CHICAGO LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-929-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036116334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1164441051",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 6, 2025; 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.