Active NPI
Brilliant Women Care, Inc
- Gynecology Physician
- Downers Grove, IL
National Provider Identifier
1447713201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- BRILLIANT WOMEN CARE, INC
- Practice address
- 4121 Fairview Ave
Downers Grove, IL 60515-2264 - Phone
- (630) 935-2937
- NPI assigned
- Apr 9, 2019
- 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
- Mona Gomaa, MD
- Title
- Physician
- Phone
- (630) 935-2937
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
4121 Fairview Ave
Downers Grove, IL 60515-2264
Mailing address
7613 W Belmont Ave
Elmwood Park, IL 60707-1113
Phone (630) 935-2937
Other practice location 1
7613 W Belmont Ave
Elmwood Park, IL 60707-1113
Phone (630) 935-2937
Other names 1
- brilliant women care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
810 Biesterfield Rd
Ste 3006
Elk Grove Vlg, IL 60007
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECJJDD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Elmwood Park, IL
- NPI 1225247976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585785600000",
"number": "1447713201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7613 W BELMONT AVE",
"city": "ELMWOOD PARK",
"state": "IL",
"postal_code": "607071113",
"telephone_number": "630-935-2937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 FAIRVIEW AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152264",
"telephone_number": "630-935-2937"
}
],
"practiceLocations": [
{
"address_1": "7613 W Belmont Ave",
"address_purpose": "LOCATION",
"city": "Elmwood Park",
"state": "IL",
"postal_code": "607071113",
"country_code": "US",
"telephone_number": "630-935-2937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRILLIANT WOMEN CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-09",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A",
"authorized_official_last_name": "GOMAA",
"authorized_official_first_name": "MONA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "630-935-2937",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "brilliant women care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "brilliant women care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.