Organization Active NPI

Women'S Aid Center

  • Specialist
  • Chicago, IL
National Provider Identifier
1275897845
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WOMEN'S AID CENTER
Practice address
4801 W. Peterson Ave. Suite #609
Chicago, IL 60646
Phone
(847) 676-2428
Fax
(773) 725-3019
NPI assigned
Jun 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Larisa Rozansky
Title
President/Administrator
Phone
(847) 676-2428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4801 W. Peterson Ave. Suite #609
Chicago, IL 60646

Mailing address

4801 W Peterson Ave Ste 609
Chicago, IL 60646-5735
Phone (847) 676-2428

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
14D0670549Women'S Aid Center4801 W Peterson Ave, Ste 609, Chicago, IL 60646Certificate of waiverFeb 19, 2027

National Provider Directory

National Provider Directory

Locations

4801 W Peterson Ave
Ste 609
Chicago, IL 60646
Phone (773) 274-3333

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1275897845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE STE 609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465735",
            "telephone_number": "847-676-2428",
            "fax_number": "773-725-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W. PETERSON AVE. SUITE #609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60646",
            "telephone_number": "847-676-2428",
            "fax_number": "773-725-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "ROZANSKY",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "847-676-2428"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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 Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.