Organization Active NPI

West Suburban Womens Health LTD

  • Obstetrics & Gynecology Physician
  • Willowbrook, IL
National Provider Identifier
1962575670
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WEST SUBURBAN WOMENS HEALTH LTD
Practice address
545 Plainfield Rd
Suite C
Willowbrook, IL 60527-7600
Phone
(630) 654-2229
Fax
(630) 655-3270
NPI assigned
Nov 17, 2006
Last updated
Sep 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Jenny M Pawluk, BA
Title
Practice Administrator
Phone
(630) 654-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X IL Primary

Addresses

Primary practice location

545 Plainfield Rd
Suite C
Willowbrook, IL 60527-7600

Mailing address

545 Plainfield Rd
Suite C
Willowbrook, IL 60527
Phone (630) 654-2229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000865 IL Part B Supplier - Clinic/Group Practice 5597848879 Receives reassigned benefits from 8 practitioners
Practice locations: Willowbrook, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0985273West Suburban Womens Health LTD545 Plainfield Road Suite C, Willowbrook, IL 60527Certificate of waiverApr 11, 2027

National Provider Directory

National Provider Directory

Locations

545 Plainfield Rd
Willowbrook, IL 60527
Phone (630) 269-2886

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1962575670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PLAINFIELD RD",
            "address_2": "SUITE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-654-2229",
            "fax_number": "630-655-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 PLAINFIELD RD",
            "address_2": "SUITE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277600",
            "telephone_number": "630-654-2229",
            "fax_number": "630-655-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN WOMENS HEALTH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "PAWLUK",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "630-654-2229",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.