Provider Demographics
NPI:1295894616
Name:PARTNERS IN OBSTETRICS & WOMENS HEALTH
Entity type:Organization
Organization Name:PARTNERS IN OBSTETRICS & WOMENS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAMILAH
Authorized Official - Middle Name:N
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-463-3000
Mailing Address - Street 1:1890 SILVER CROSS BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-9626
Mailing Address - Country:US
Mailing Address - Phone:815-463-3000
Mailing Address - Fax:815-463-3013
Practice Address - Street 1:1890 SILVER CROSS BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-9524
Practice Address - Country:US
Practice Address - Phone:815-463-3000
Practice Address - Fax:815-463-3013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL09932229OtherBCBS
ILDD9140OtherRR MEDICARE
IL210024Medicare PIN