Organization Active NPI

Women'S Healthcare Group of Illinois SC

  • Medical Specialty Clinic/Center
  • Gurnee, IL
National Provider Identifier
1548820137
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
WOMEN'S HEALTHCARE GROUP OF ILLINOIS SC
Practice address
3 S Greenleaf St
Gurnee, IL 60031-3377
Phone
(847) 244-0222
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Dr. Jamil Abdur-Rahman, MD
Title
Attending Physician
Phone
(847) 244-0222

Specialties & licenses 1

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

Addresses

Primary practice location

3 S Greenleaf St
Gurnee, IL 60031-3377

Mailing address

24700 W Indian Trail Rd
Barrington, IL 60010-6951
Phone (773) 573-9676

National Provider Directory

National Provider Directory

Locations

890 Garfield Ave
Ste 203
Libertyville, IL 60048
Phone (224) 433-6239

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": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1548820137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24700 W INDIAN TRAIL RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600106951",
            "telephone_number": "773-573-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S GREENLEAF ST",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313377",
            "telephone_number": "847-244-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTHCARE GROUP OF ILLINOIS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "ABDUR-RAHMAN",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "847-244-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.