Provider Demographics
NPI:1194840546
Name:WOMENS COMPLETE HEALTHCARE CTR SC
Entity Type:Organization
Organization Name:WOMENS COMPLETE HEALTHCARE CTR SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZOFIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SYMANSKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACOG
Authorized Official - Phone:847-434-4418
Mailing Address - Street 1:800 BIESTERFIELD ROAD
Mailing Address - Street 2:#4006 BROCK MEDICAL BUILDING
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3383
Mailing Address - Country:US
Mailing Address - Phone:847-437-4418
Mailing Address - Fax:847-437-9431
Practice Address - Street 1:800 BIESTERFIELD ROAD
Practice Address - Street 2:#4006 BROCK MEDICAL BUILDING
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3383
Practice Address - Country:US
Practice Address - Phone:847-437-4418
Practice Address - Fax:847-437-9431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C42254Medicare UPIN
487940Medicare ID - Type Unspecified