Organization Active NPI

Comprehensive Women'S Healthcare

  • Specialist
  • Chicago, IL
National Provider Identifier
1306048640
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COMPREHENSIVE WOMEN'S HEALTHCARE
Practice address
680 N Lake Shore Dr
Suite 1424
Chicago, IL 60611-4546
Phone
(312) 482-8484
Fax
(312) 482-9977
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elias Rudy Sabbagha, M.D.
Title
President
Phone
(312) 482-8484

Specialties & licenses 1

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

Addresses

Primary practice location

680 N Lake Shore Dr
Suite 1424
Chicago, IL 60611-4546

Mailing address

680 N Lake Shore Dr
Suite 1424
Chicago, IL 60611-4546
Phone (312) 482-8484

National Provider Directory

National Provider Directory

Locations

680 N Lake Shore Dr
Ste 902
Chicago, IL 60611
Phone (312) 482-8484

680 N Lake Shore Dr
Ste 1424
Chicago, IL 60611
Phone (312) 482-8484

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306048640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "SUITE 1424",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-482-8484",
            "fax_number": "312-482-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "SUITE 1424",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-482-8484",
            "fax_number": "312-482-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WOMEN'S HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SABBAGHA",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "RUDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-482-8484",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.