NPIMap

Organization Active NPI

Midwest Center for Womens Healthcare

  • Obstetrics & Gynecology Physician
  • Elgin, IL
National Provider Identifier
1821079518
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
042620375 Issued in IL
Legal business name
MIDWEST CENTER FOR WOMENS HEALTHCARE
Practice address
1435 N Randall Rd
Suite 309
Elgin, IL 60123-2300
Phone
(847) 741-7990
Fax
(847) 741-8099
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Mrs. Cheryl J Paradis, MD
Title
President
Phone
(847) 741-7990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 042620375 IL Primary

Addresses

Primary practice location

1435 N Randall Rd
Suite 309
Elgin, IL 60123-2300

Mailing address

1435 N Randall Rd
Suite 309
Elgin, IL 60123-2300
Phone (847) 741-7990

Other identifiers 5

IdentifierTypeStateIssuer
36110863MedicaidIL
36046926MedicaidIL
36095738MedicaidIL
36100904MedicaidIL
354448745-001MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Midwest Center for Womens6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

901 Center St
Ste 102
Elgin, IL 60120
Phone (312) 741-7990

2000 McDonald Rd
Ste 240
South Elgin, IL 60177
Phone (847) 289-0920

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": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1821079518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD",
            "address_2": "SUITE 309",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232300",
            "telephone_number": "847-741-7990",
            "fax_number": "847-741-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD",
            "address_2": "SUITE 309",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232300",
            "telephone_number": "847-741-7990",
            "fax_number": "847-741-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CENTER FOR WOMENS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "PARADIS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-741-7990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "042620375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36110863",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36046926",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36095738",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36100904",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354448745-001",
            "state": "IL"
        }
    ],
    "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 Jul 30, 2015; 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.