Provider Demographics
NPI:1336681568
Name:ARTEMIS FOR WOMEN
Entity Type:Organization
Organization Name:ARTEMIS FOR WOMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ROUSE-HO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-378-1783
Mailing Address - Street 1:615 WOODBINE AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1607
Mailing Address - Country:US
Mailing Address - Phone:708-665-3155
Mailing Address - Fax:
Practice Address - Street 1:615 WOODBINE AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1607
Practice Address - Country:US
Practice Address - Phone:708-665-3155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99075594A261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty