Organization Active NPI

Women's Choice, LLC

  • Obstetrics & Gynecology Physician
  • Worth, IL
National Provider Identifier
1467716720
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036.125755 Issued in IL
Legal business name
WOMEN'S CHOICE, LLC
Practice address
11330 S Harlem Ave
Worth, IL 60482-2060
Phone
(708) 599-1665
NPI assigned
Jul 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Dr. Eiman El-Tag, M.D.
Title
Physician
Phone
(847) 571-5637

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 036.125755 IL Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 4301083889 MI

Addresses

Primary practice location

11330 S Harlem Ave
Worth, IL 60482-2060

Mailing address

11330 S Harlem Ave
Worth, IL 60482-2060
Phone (708) 599-1665

National Provider Directory

National Provider Directory

Locations

7273 W 87th St
Bridgeview, IL 60455
Phone (708) 599-1665

11330 S Harlem Ave
Worth, IL 60482
Phone (708) 599-1665

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6080/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1467716720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 S HARLEM AVE",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604822060",
            "telephone_number": "708-599-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 S HARLEM AVE",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604822060",
            "telephone_number": "708-599-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CHOICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-01",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "EL-TAG",
        "authorized_official_first_name": "EIMAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-571-5637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.125755",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301083889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worth, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.