Active NPI
Womens Specialty Care SC
- Obstetrics & Gynecology Physician
- Lake Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036093085
- Legal business name
- WOMENS SPECIALTY CARE SC
- Practice address
- 840 S Waukegan Rd Ste 208
Lake Forest, IL 60045-2619 - Phone
- (847) 295-0433
- Fax
- (847) 234-0034
- NPI assigned
- Dec 5, 2006
- Last updated
- Mar 7, 2024
- 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
- Dr. Karen J Mass, MD
- Title
- President
- Phone
- (847) 295-0433
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036093085 | IL | Primary |
| Radiology Clinic/Center | 261QR0200X | |||
| Mammography Clinic/Center | 261QR0206X |
Addresses
Primary practice location
840 S Waukegan Rd Ste 208
Lake Forest, IL 60045-2619
Mailing address
475 McCormick Dr
Lake Forest, IL 60045-3349
Phone (847) 295-0433
Other names 2
- Dr Karen J Mass MD
- Mass Medical Imaging
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 |
|---|---|---|---|
| 14D1000914 | Office of Karen J Mass MD | Provider-performed microscopy | Jun 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
840 S Waukegan Rd
Ste 204
Lake Forest, IL 60045
Interoperability endpoints
- https://api.platform.athenahealth.com/2494/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Lake Forest, IL
- NPI 1710179759
-
- Advanced Practice Midwife
- Lake Forest, IL
- NPI 1952688459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709769600000",
"number": "1477611028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 MCCORMICK DR",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600453349",
"telephone_number": "847-295-0433",
"fax_number": "847-295-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 S WAUKEGAN RD STE 208",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600452619",
"telephone_number": "847-295-0433",
"fax_number": "847-234-0034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS SPECIALTY CARE SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "MASS",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-295-0433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036093085",
"primary": true
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr Karen J Mass MD",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Mass Medical Imaging",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.