Active NPI
Women'S Health Care Center of Chicago, S.C.
- Obstetrics & Gynecology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WOMEN'S HEALTH CARE CENTER OF CHICAGO, S.C.
- Practice address
- 4009 W Fullerton Ave
Chicago, IL 60639-2103 - Phone
- (630) 415-6996
- Fax
- (888) 289-5746
- NPI assigned
- Aug 3, 2011
- 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
- Adeeb Alshahrour, MD
- Title
- President
- Phone
- (773) 661-9049
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
4009 W Fullerton Ave
Chicago, IL 60639-2103
Mailing address
4009 W Fullerton Ave
Chicago, IL 60639-2103
Phone (630) 415-6996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036112499 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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 |
|---|---|---|---|
| 14D2032872 | Women'S Health Care Center of Chicago | Compliance | Jan 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
4009 W Fullerton Ave
Chicago, IL 60639
Phone (773) 276-3333
4335 W Fullerton Ave
Chicago, IL 60639
Phone (773) 661-9049
Interoperability endpoints
- https://api.platform.athenahealth.com/6561/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1225047921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601856000000",
"number": "1427336726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606392103",
"telephone_number": "630-415-6996",
"fax_number": "888-289-5746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4009 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606392103",
"telephone_number": "630-415-6996",
"fax_number": "888-289-5746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S HEALTH CARE CENTER OF CHICAGO, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-03",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A",
"authorized_official_last_name": "ALSHAHROUR",
"authorized_official_first_name": "ADEEB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-661-9049",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036112499",
"state": "IL"
}
],
"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 Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.