Organization Active NPI

Womancare, P.C.

  • Obstetrics & Gynecology Physician
  • Mount Prospect, IL
National Provider Identifier
1487650982
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMANCARE, P.C.
Practice address
221 W Prospect Ave
Mt Prospect, IL 60056-3136
Phone
(847) 221-4800
Fax
(847) 221-4896
NPI assigned
Jun 21, 2005
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Carl David Cucco, M.D.
Title
President/Ceo
Phone
(847) 221-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

221 W Prospect Ave
Mt Prospect, IL 60056-3136

Mailing address

221 W Prospect Ave
Mt Prospect, IL 60056-3136
Phone (847) 221-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602001054 IL Part B Supplier - Clinic/Group Practice 9133101371 Receives reassigned benefits from 11 practitioners
Practice locations: Schaumburg, IL; Arlington Heights, IL; Arlington HTS, IL

National Provider Directory

National Provider Directory
Tax ID family
Womancare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1430 N Arlington Heights Rd
Ste 101
Arlington Heights, IL 60004
Phone (847) 255-3444

216 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 221-4400

1051 W Rand Rd
Ste 101
Arlington Hts, IL 60004
Phone (847) 212-3885

1450 Busch Pkwy
Ste 110
Buffalo Grove, IL 60089
Phone (847) 221-2200

221 W Prospect Ave
Mt Prospect, IL 60056
Phone (847) 221-4800

363 W Northwest Hwy
Palatine, IL 60067
Phone (847) 221-4600

455 S Roselle Rd
Ste 120
Schaumburg, IL 60193
Phone (847) 212-3885

455 S Roselle Rd
Ste 205
Schaumburg, IL 60193
Phone (847) 352-0080

814 E Woodfield Rd
Schaumburg, IL 60173
Phone (224) 347-4875

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1487650982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W PROSPECT AVE",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563136",
            "telephone_number": "847-221-4800",
            "fax_number": "847-221-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W PROSPECT AVE",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563136",
            "telephone_number": "847-221-4800",
            "fax_number": "847-221-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMANCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "CUCCO",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "847-221-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.

Verify at the official NPI Registry.