Provider Demographics
NPI:1275897845
Name:WOMEN'S AID CENTER
Entity Type:Organization
Organization Name:WOMEN'S AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-676-2428
Mailing Address - Street 1:4801 W PETERSON AVE STE 609
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-5735
Mailing Address - Country:US
Mailing Address - Phone:847-676-2428
Mailing Address - Fax:773-725-3019
Practice Address - Street 1:4801 W. PETERSON AVE. SUITE #609
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646
Practice Address - Country:US
Practice Address - Phone:847-676-2428
Practice Address - Fax:773-725-3019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty