Active NPI
Women'S Aid Center
- Specialist
- Chicago, IL
National Provider Identifier
1275897845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0670549 | Women'S Aid Center | Certificate of waiver | Feb 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.