Organization Active NPI

Womens Center of Northern Illinois

  • Obstetrics & Gynecology Physician
  • Belvidere, IL
National Provider Identifier
1477741320
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMENS CENTER OF NORTHERN ILLINOIS
Practice address
303 Andrews Dr
200
Belvidere, IL 61008-3918
Phone
(815) 323-1133
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Jyothi Gondi, M.D.NPI 1407891591
Title
Provider
Phone
(815) 323-1133

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

303 Andrews Dr
200
Belvidere, IL 61008-3918

Mailing address

6532 Spring Brook Rd Apt 203
Rockford, IL 61114-8135
Phone (815) 323-1133

National Provider Directory

National Provider Directory

Locations

303 Andrews Dr
Ste 200
Belvidere, IL 61008
Phone (815) 323-1133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1477741320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6532 SPRING BROOK RD APT 203",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148135",
            "telephone_number": "815-323-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ANDREWS DR",
            "address_2": "200",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083918",
            "telephone_number": "815-323-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CENTER OF NORTHERN ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "GONDI",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "815-323-1133",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.