Provider Demographics
NPI:1730317009
Name:ASSOCIATES FOE WOMENS HEALTHCARE
Entity Type:Organization
Organization Name:ASSOCIATES FOE WOMENS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIERMAIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-697-7722
Mailing Address - Street 1:915 CENTER ST
Mailing Address - Street 2:SUITE 3003
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-2106
Mailing Address - Country:US
Mailing Address - Phone:847-697-7722
Mailing Address - Fax:847-697-7896
Practice Address - Street 1:915 CENTER ST
Practice Address - Street 2:SUITE 3003
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-2106
Practice Address - Country:US
Practice Address - Phone:847-697-7722
Practice Address - Fax:847-697-7896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036065268207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036065268Medicaid
IL04500714OtherBLUE CROSS BLUE SHIELD
IL91446016Medicare Oscar/Certification
ILC38286Medicare UPIN