Organization Active NPI

Complete Womens Care SC

  • Gynecology Physician
  • Kankakee, IL
National Provider Identifier
1972787646
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0360083431 Issued in IL
Legal business name
COMPLETE WOMENS CARE SC
Practice address
1500 W Court St
Kankakee, IL 60901-3294
Phone
(815) 939-3427
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Eileen Fleer
Title
Business Manager
Phone
(815) 939-3427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 0360083431 IL Primary

Addresses

Primary practice location

1500 W Court St
Kankakee, IL 60901-3294

Mailing address

1500 W Court St
Kankakee, IL 60901-3294

National Provider Directory

National Provider Directory

Locations

1500 W Court St
Ste B
Kankakee, IL 60901
Phone (801) 939-3427

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": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1972787646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013294",
            "telephone_number": "815-939-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WOMENS CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "FLEER",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "815-939-3427"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "0360083431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.