Midwest Women'S Health , Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036093184 Issued in IL

Legal business name

MIDWEST WOMEN'S HEALTH , INC

Practice address

7456 S State Rd
Suite 302
Bedford Park, IL 60638-6623

Phone

(708) 598-4100

Fax

(708) 598-0123

NPI assigned

Feb 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fouad A. Al-Qawasmi, MD

Title

President

Phone

(708) 598-4100

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14543/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1346376548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 S STATE RD",
            "address_2": "SUITE 302",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386623",
            "telephone_number": "708-598-4100",
            "fax_number": "708-598-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 S STATE RD",
            "address_2": "SUITE 302",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386623",
            "telephone_number": "708-598-4100",
            "fax_number": "708-598-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST WOMEN'S HEALTH , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "AL-QAWASMI",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-598-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036093184",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036093184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093184",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Bedford Park, IL
• Providers in Bedford Park, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.