Provider Demographics
NPI:1437165768
Name:WOMENS HEALTH CONSULTANTS SC
Entity Type:Organization
Organization Name:WOMENS HEALTH CONSULTANTS SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VIVIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-997-2229
Mailing Address - Street 1:1890 SILVER CROSS BLVD STE 215
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-9626
Mailing Address - Country:US
Mailing Address - Phone:312-997-2229
Mailing Address - Fax:773-797-2884
Practice Address - Street 1:1890 SILVER CROSS BLVD STE 215
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-9626
Practice Address - Country:US
Practice Address - Phone:312-997-2229
Practice Address - Fax:773-797-2884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1616020OtherBCBS
IL1616020OtherBCBS