Provider Demographics
NPI:1780420653
Name:WELL WOMENS HEALTH LLC
Entity type:Organization
Organization Name:WELL WOMENS HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABEER
Authorized Official - Middle Name:SALHIA
Authorized Official - Last Name:RAFATI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-C
Authorized Official - Phone:708-671-1264
Mailing Address - Street 1:14605 RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-1965
Mailing Address - Country:US
Mailing Address - Phone:708-671-1264
Mailing Address - Fax:630-203-6004
Practice Address - Street 1:14434 JOHN HUMPHREY DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-2638
Practice Address - Country:US
Practice Address - Phone:708-671-1264
Practice Address - Fax:630-203-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0006XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Fertility Facility
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care