American Womens Medical Group

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7000037 Issued in IL

Legal business name

AMERICAN WOMENS MEDICAL GROUP

Practice address

2744 N Western Ave
Chicago, IL 60647

Phone

(773) 772-7726

Fax

(773) 772-3696

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Renlin Xia, M.D.NPI 1790809960

Title

Owner

Phone

(773) 235-8000

Specialties & licenses 1

Addresses

Other names 1

• Western Diversey Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Ambulatory surgical center certification: CCN 14C0001185

Legal name

WESTERN DIVERSEY SURGICAL CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 15, 2021

Last certification

Apr 15, 2021

Ownership / control type

Proprietary

Facility address

2744 N Western Ave
Chicago, IL 60647

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

CLIA laboratory certificates

Practitioners 2

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

• Renlin Xia, MD

  • Pain Medicine Physician
  • Chicago, IL
  • NPI 1790809960
  Medicare reassignment NPD (past) Authorized official
• Tian Xia, DO

  • Pain Medicine (Anesthesiology) Physician
  • Lombard, IL
  • NPI 1467492728
  Medicare reassignment

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1265583934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "773-772-7726",
            "fax_number": "773-772-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "773-772-7726",
            "fax_number": "773-772-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN WOMENS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "XIA",
        "authorized_official_first_name": "RENLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-235-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7000037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Diversey Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• American Spiritual and Economic Empowerment Corporation
• American Surgical Services, Inc
• American United Physical Therapy P.C.
• American Ventures, LTD.
• American Women'S Professional Group Corp
• Americas Best Picc Inc
• Americas Disabled Homebound Inc.
• Amerident Associates
• Amerigroup Illinois, Inc.
• Amerihelps Inc

• Ambulatory Surgical Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.