Organization Active NPI

Chams Women's Health Care, SC

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Chicago, IL
National Provider Identifier
1255453494
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X
Legal business name
CHAMS WOMEN'S HEALTH CARE, SC
Practice address
4200 W Peterson Ave Ste 101
Chicago, IL 60646-6052
Phone
(773) 283-3404
Fax
(773) 283-3548
NPI assigned
Apr 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Linda Ridley
Title
Office Manager
Phone
(773) 283-3404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VH0002X Primary

Addresses

Primary practice location

4200 W Peterson Ave Ste 101
Chicago, IL 60646-6052

Mailing address

4600 W Peterson Ave
Chicago, IL 60646-5833
Phone (773) 283-3404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070619000626 IL Part B Supplier - Clinic/Group Practice 0840399622 Receives reassigned benefits from 1 practitioner
Practice locations: Glenview, IL

National Provider Directory

National Provider Directory

Locations

1022 Weiland Rd
Buffalo Grove, IL 60089
Phone (847) 520-7776

4200 W Peterson Ave
Ste 101
Chicago, IL 60646
Phone (773) 283-3404

2601 Compass Rd
Ste 115
Glenview, IL 60026
Phone (847) 901-5263

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255453494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465833",
            "telephone_number": "773-283-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466052",
            "telephone_number": "773-283-3404",
            "fax_number": "773-283-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMS WOMEN'S HEALTH CARE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIDLEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-283-3404",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.