Organization Active NPI

Tamar, LTD.

  • Medical Specialty Clinic/Center
  • Berwyn, IL
National Provider Identifier
1497723597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
TAMAR, LTD.
Doing business as
Life Womens Health Center
Practice address
6425 Cermak Rd
Suite 202
Berwyn, IL 60402-2338
Phone
(708) 484-0500
Fax
(708) 484-4259
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel Albert Rostein, M.D.
Title
President
Phone
(708) 484-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X IL Primary

Addresses

Primary practice location

6425 Cermak Rd
Suite 202
Berwyn, IL 60402-2338

Mailing address

6425 Cermak Rd
Suite 202
Berwyn, IL 60402-2338
Phone (708) 484-0500

Other identifiers 1

IdentifierTypeStateIssuer
01622621OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Life Womens Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

6425 Cermak Rd
Ste 202
Berwyn, IL 60402
Phone (708) 484-0500

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497723597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 CERMAK RD",
            "address_2": "SUITE 202",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022338",
            "telephone_number": "708-484-0500",
            "fax_number": "708-484-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 CERMAK RD",
            "address_2": "SUITE 202",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022338",
            "telephone_number": "708-484-0500",
            "fax_number": "708-484-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMAR, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSTEIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-484-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01622621",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Womens Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.