Western Dupage Obstetrics & Gynecology SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WESTERN DUPAGE OBSTETRICS & GYNECOLOGY SC

Practice address

3540 Seven Bridges Dr Ste 200
Woodridge, IL 60517-1222

Phone

(630) 810-0777

Fax

(630) 810-0395

NPI assigned

Jan 24, 2007

Last updated

Dec 20, 2021By 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. George A Banuelos, MDNPI 1396815601

Title

Medical Doctor/President

Phone

(630) 810-0777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• George A Banuelos, M.D.

  • Obstetrics & Gynecology Physician
  • Woodridge, IL
  • NPI 1396815601
  Authorized official Same address or phone

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1609921170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SEVEN BRIDGES DR STE 200",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171222",
            "telephone_number": "630-810-0777",
            "fax_number": "630-810-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SEVEN BRIDGES DR STE 200",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171222",
            "telephone_number": "630-810-0777",
            "fax_number": "630-810-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DUPAGE OBSTETRICS & GYNECOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "BANUELOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "630-810-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Clinic LTD
• Wellspring Healthcare Services, Inc.
• Olimpia W Wesley
• West Regional MRI LTD Partnership (Vision MRI of Woodridge)
• Kathryn Westerkamp, M. ED.
• Walter J Whang, MD
• Marilyn Wiggan, MSPT
• Williams and Eaton Live and Learn Together
• Fahamisha Williams, LCSW
• Taylor Williams, LSW

• Obstetrics & Gynecology Physician in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.