Provider Demographics
NPI:1477718849
Name:WOMENS HEALTHCARE ASSOCIATES LLC
Entity Type:Organization
Organization Name:WOMENS HEALTHCARE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRIGES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-869-0437
Mailing Address - Street 1:800 AUSTIN ST
Mailing Address - Street 2:505W
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3439
Mailing Address - Country:US
Mailing Address - Phone:847-869-0434
Mailing Address - Fax:847-869-1831
Practice Address - Street 1:800 AUSTIN ST
Practice Address - Street 2:505W
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3439
Practice Address - Country:US
Practice Address - Phone:847-869-0434
Practice Address - Fax:847-869-1831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036072314207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty