Mymenopauserx Gynecology Group PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

MYMENOPAUSERX GYNECOLOGY GROUP PLLC

Practice address

1604 N Main St
Wheaton, IL 60187-3145

Phone

(630) 480-0428

NPI assigned

Oct 14, 2021

Last updated

Oct 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Barbra Hanna, DONPI 1235322090

Title

President

Phone

(630) 480-0428

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Barbra S Hanna, DO

  • Obstetrics & Gynecology Physician
  • Wheaton, IL
  • NPI 1235322090
  Medicare reassignment NPD Authorized official
• Emilie McLain, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Naperville, IL
  • NPI 1104462563
  Medicare reassignment NPD
• Johanna Maria Santoyo, APRN

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1689259210
  NPD

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1548923717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 N MAIN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873145",
            "telephone_number": "630-480-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMENOPAUSERX GYNECOLOGY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "BARBRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-480-0428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Personal Taxi & Livery, Inc.
• Hollis Myers
• Mark Aaron Myers, DC
• Marsonne Denise Myers, LCSW, CADC
• Mymenopauserx
• Mymenopauserx Medical Group
• Zara Nadeem
• Amanda Elizabeth Nadr
• Margaret A. Nagib, PSYD
• Skylar Blaine McKinney Nagy, LCPC

• Gynecology Physician in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.