Provider Demographics
NPI:1740402304
Name:MIDWEST CENTER FOR WOMEN'S HEALTHCARE
Entity Type:Organization
Organization Name:MIDWEST CENTER FOR WOMEN'S HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:M.
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:SPRANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-729-2108
Mailing Address - Street 1:6 PHILIP ROAD
Mailing Address - Street 2:SUITE 1114
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061
Mailing Address - Country:US
Mailing Address - Phone:847-362-5242
Mailing Address - Fax:
Practice Address - Street 1:6 PHILIP ROAD
Practice Address - Street 2:SUITE 1114
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061
Practice Address - Country:US
Practice Address - Phone:847-362-5242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty