Organization Active NPI

Complete Healthcare for Women, S.C.

  • Obstetrics & Gynecology Physician
  • Elgin, IL
National Provider Identifier
1639401136
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036089120 Issued in IL
Legal business name
COMPLETE HEALTHCARE FOR WOMEN, S.C.
Practice address
1435 N Randall Rd
310
Elgin, IL 60123-2306
Phone
(847) 488-0800
Fax
(847) 841-8171
NPI assigned
Feb 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Dr. Stephen F Gladdin, MDNPI 1386692671
Title
Owner
Phone
(312) 543-8724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 036089120 IL Primary

Addresses

Primary practice location

1435 N Randall Rd
310
Elgin, IL 60123-2306

Mailing address

1435 N Randall Rd
Suite # 310
Elgin, IL 60123-2306
Phone (847) 488-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728000982 IL Part B Supplier - Clinic/Group Practice 8729111794 Receives reassigned benefits from 1 practitioner
Practice locations: Elgin, IL

National Provider Directory

National Provider Directory

Locations

1435 N Randall Rd
Ste 310
Elgin, IL 60123
Phone (847) 488-0800

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": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1639401136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD",
            "address_2": "SUITE # 310",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232306",
            "telephone_number": "847-488-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD",
            "address_2": "310",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232306",
            "telephone_number": "847-488-0800",
            "fax_number": "847-841-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HEALTHCARE FOR WOMEN, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "GLADDIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-543-8724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036089120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.