NPIMap

Organization Active NPI

Comprehensive Center for Womens Medicine LLC

  • Legal Medicine
  • Chicago, IL
National Provider Identifier
1609907344
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
COMPREHENSIVE CENTER FOR WOMENS MEDICINE LLC
Practice address
1 E Delaware PL
501
Chicago, IL 60611-1449
Phone
(773) 435-1150
Fax
(773) 435-1330
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Mrs. Kristina S Cockerill, CPA
Title
Practice Administrator
Phone
(773) 435-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

1 E Delaware PL
501
Chicago, IL 60611-1449

Mailing address

1 E Delaware PL
501
Chicago, IL 60611-1449
Phone (773) 435-1150

Other identifiers 1

IdentifierTypeStateIssuer
1630135OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1609907344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E DELAWARE PL",
            "address_2": "501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111449",
            "telephone_number": "773-435-1150",
            "fax_number": "773-435-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E DELAWARE PL",
            "address_2": "501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111449",
            "telephone_number": "773-435-1150",
            "fax_number": "773-435-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CENTER FOR WOMENS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "COCKERILL",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "773-435-1150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1630135",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.