NPIMap

Organization Active NPI

Northwestern Womens Health Associates SC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1275662835
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
042007530 Issued in IL
Legal business name
NORTHWESTERN WOMENS HEALTH ASSOCIATES SC
Practice address
680 N Lakeshore Drive
Suite 1200
Chicago, IL 60611-4546
Phone
(312) 440-9400
Fax
(312) 440-0423
NPI assigned
Mar 2, 2007
Last updated
Aug 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Mr. Stanley C Friedell, MD
Title
President
Phone
(312) 440-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 042007530 IL Primary

Addresses

Primary practice location

680 N Lakeshore Drive
Suite 1200
Chicago, IL 60611-4546

Mailing address

680 N Lakeshore Drive
Suite 1200
Chicago, IL 60611-4546
Phone (312) 440-9400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601000306 IL Part B Supplier - Clinic/Group Practice 7911988357 Receives reassigned benefits from 13 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

680 N Lake Shore Dr
Ste 1200
Chicago, IL 60611
Phone (312) 440-9400

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1275662835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKESHORE DRIVE",
            "address_2": "SUITE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-440-9400",
            "fax_number": "312-440-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKESHORE DRIVE",
            "address_2": "SUITE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-440-9400",
            "fax_number": "312-440-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN WOMENS HEALTH ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "FRIEDELL",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-440-9400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "042007530",
            "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 23, 2012; 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.