Provider Demographics
NPI:1124600804
Name:WOLOWICK WOMENS HEALTH, LLC
Entity Type:Organization
Organization Name:WOLOWICK WOMENS HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OFFICE MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLOWICK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:630-320-6703
Mailing Address - Street 1:1319 BUTTERFIELD RD STE 506
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-5601
Mailing Address - Country:US
Mailing Address - Phone:630-320-6703
Mailing Address - Fax:630-389-8863
Practice Address - Street 1:1319 BUTTERFIELD RD # 506
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-5601
Practice Address - Country:US
Practice Address - Phone:630-320-6703
Practice Address - Fax:630-389-8863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1760644090OtherNPI