Active NPI
Women'S Healthcare Group of Illinois SC
- Medical Specialty Clinic/Center
- Gurnee, IL
National Provider Identifier
1548820137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
- NPI 1205685708
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.