Provider Demographics
NPI:1639414113
Name:UPTODATE HEALTHCARE FOR WOMEN, INC.
Entity Type:Organization
Organization Name:UPTODATE HEALTHCARE FOR WOMEN, INC.
Other - Org Name:UPTODATE HEALTHCARE FOR WOMEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ATTENDING PHYSICIAN / ( DIRECTOR)
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-466-7260
Mailing Address - Street 1:2500 W HIGGINS RD STE 920
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2048
Mailing Address - Country:US
Mailing Address - Phone:847-466-7260
Mailing Address - Fax:847-466-7747
Practice Address - Street 1:2500 W HIGGINS RD STE 920
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2048
Practice Address - Country:US
Practice Address - Phone:847-466-7260
Practice Address - Fax:847-466-7747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.119607207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1750515367OtherNPI SAMREEN AKBAR, MD.
ILIL8431001OtherPTAN PROVIDER TRANSACTION ACCESS NUMBER
IL036.119607OtherPHYSICIAN & SURGEON LIC. # (IDFPR)
IL1639414113OtherNPI UPTODATE HEALTHCARE FOR WOMEN, INC.
ILIL8431OtherGROUP PTAN
IL1113014432001OtherMEDICARE CONTROL NUMBER
IL532110001OtherMEDICARE ID
ILIL8431OtherGROUP PTAN