Cordia M. Clark-White, MD, LTD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036119447 Issued in GA

Legal business name

CORDIA M. CLARK-WHITE, MD, LTD

Doing business as

Women's Progressive Healthcare

Practice address

2600 S Michigan Ave
Suite 305
Chicago, IL 60616-2857

Phone

(312) 326-1792

Fax

(312) 326-1200

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Cordia Clark-White, MDNPI 1861676538

Title

Physician

Phone

(312) 326-1792

Specialties & licenses 1

Addresses

Other names 1

• Women's Progressive Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cordia Marie Clark-White, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1861676538
  Medicare reassignment NPD Authorized official
• Jilma Patrick, M.D.

  • Surgery Physician
  • Chicago, IL
  • NPI 1497980452
  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1255889622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE",
            "address_2": "305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162857",
            "telephone_number": "312-326-1792",
            "fax_number": "312-326-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE",
            "address_2": "SUITE 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162857",
            "telephone_number": "312-326-1792",
            "fax_number": "312-326-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDIA M. CLARK-WHITE, MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "CLARK-WHITE",
        "authorized_official_first_name": "CORDIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "312-326-1792",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "036119447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Progressive Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luz-Maritza Cordero, M.A., L.C.P.C.
• Nathan Cordero, NP
• Nela Rodriguez Cordero, M.D.
• Sheila Gawat Cordero, MSW, LCSW
• Kelly Cordes
• Cordial Care Home Services Inc.
• Shamika Cordis, D.C.
• Alejandra Cordova
• Ellen Cordova
• Emmanuel Cordova

• Obstetrics & Gynecology Physician in Chicago, IL
• Providers in Chicago, 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 Sep 28, 2016; 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.