Provider Demographics
NPI:1487650982
Name:WOMANCARE, P.C.
Entity Type:Organization
Organization Name:WOMANCARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CUCCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-221-4800
Mailing Address - Street 1:221 W PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:MT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-3136
Mailing Address - Country:US
Mailing Address - Phone:847-221-4800
Mailing Address - Fax:847-221-4896
Practice Address - Street 1:221 W PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:MT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3136
Practice Address - Country:US
Practice Address - Phone:847-221-4800
Practice Address - Fax:847-221-4896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC43193Medicare UPIN
ILC49353Medicare UPIN
ILF98602Medicare UPIN
ILC43194Medicare UPIN
ILE84595Medicare UPIN
ILG86473Medicare UPIN
IL748450Medicare PIN
ILD16179Medicare UPIN
ILE24444Medicare UPIN
ILH68488Medicare UPIN
ILC43195Medicare UPIN
ILE84421Medicare UPIN
ILE97394Medicare UPIN
ILF68812Medicare UPIN
ILG13874Medicare UPIN