Provider Demographics
NPI:1720012412
Name:R-P-W OBSTETRICS & GYNECOLOGY, S.C.
Entity Type:Organization
Organization Name:R-P-W OBSTETRICS & GYNECOLOGY, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:FITZMAURICE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:630-832-4210
Mailing Address - Street 1:360 W BUTTERFIELD RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5068
Mailing Address - Country:US
Mailing Address - Phone:630-832-4210
Mailing Address - Fax:630-832-8110
Practice Address - Street 1:360 W BUTTERFIELD RD
Practice Address - Street 2:SUITE 250
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5068
Practice Address - Country:US
Practice Address - Phone:630-832-4210
Practice Address - Fax:630-832-8110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL301290Medicare PIN
IL585200Medicare PIN
IL772210Medicare PIN
IL369150Medicare PIN
IL369140Medicare PIN
IL207514Medicare PIN
IL207528Medicare PIN