Provider Demographics
NPI:1508945015
Name:WOMENS HEALTH ASSOCIATES LTD
Entity Type:Organization
Organization Name:WOMENS HEALTH ASSOCIATES LTD
Other - Org Name:H H OZDEGER MD LTD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:COUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-631-5767
Mailing Address - Street 1:7447 W TALCOTT AVE
Mailing Address - Street 2:SUITE 454
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3745
Mailing Address - Country:US
Mailing Address - Phone:773-631-5767
Mailing Address - Fax:773-631-0828
Practice Address - Street 1:7447 W TALCOTT AVE
Practice Address - Street 2:SUITE 454
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3745
Practice Address - Country:US
Practice Address - Phone:773-631-5767
Practice Address - Fax:773-631-0828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2014-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
215824OtherMEDICARE GROUP/ORGANIZATION NUMBER
216-00101OtherBCBS OF ILLINOIS NUMBER