Provider Demographics
NPI:1821079518
Name:MIDWEST CENTER FOR WOMENS HEALTHCARE
Entity Type:Organization
Organization Name:MIDWEST CENTER FOR WOMENS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:J
Authorized Official - Last Name:PARADIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-741-7990
Mailing Address - Street 1:1435 N RANDALL RD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-2300
Mailing Address - Country:US
Mailing Address - Phone:847-741-7990
Mailing Address - Fax:847-741-8099
Practice Address - Street 1:1435 N RANDALL RD
Practice Address - Street 2:SUITE 309
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-2300
Practice Address - Country:US
Practice Address - Phone:847-741-7990
Practice Address - Fax:847-741-8099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-09
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042620375207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36110863Medicaid
IL36046926Medicaid
IL36095738Medicaid
IL36100904Medicaid
IL354448745-001Medicaid
IL36100904Medicaid
ILI11525Medicare UPIN
ILD12811Medicare UPIN
IL354448745-001Medicaid
IL36110863Medicaid
ILH49158Medicare UPIN
ILL88358Medicare ID - Type UnspecifiedDR. CHRISTINE ESTES
IL36046926Medicaid
ILL91914Medicare ID - Type UnspecifiedLINDA MEILAHN, CNM
IL36110863Medicaid