Provider Demographics
NPI:1639223894
Name:WOMENS CENTER FOR HEALTH L P
Entity type:Organization
Organization Name:WOMENS CENTER FOR HEALTH L P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-416-3300
Mailing Address - Street 1:24600 W 127TH ST
Mailing Address - Street 2:STE B200
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-9507
Mailing Address - Country:US
Mailing Address - Phone:815-731-9140
Mailing Address - Fax:815-731-9144
Practice Address - Street 1:24600 W 127TH ST
Practice Address - Street 2:STE B200
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-9507
Practice Address - Country:US
Practice Address - Phone:815-731-9140
Practice Address - Fax:630-646-5648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2221220OtherBCBS
IL236150Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER