Provider Demographics
NPI:1952017428
Name:BONE AND BODY WOMEN'S HEALTH, LLC
Entity Type:Organization
Organization Name:BONE AND BODY WOMEN'S HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDING PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUGH DESAPRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-293-9642
Mailing Address - Street 1:192 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-3944
Mailing Address - Country:US
Mailing Address - Phone:917-293-9642
Mailing Address - Fax:
Practice Address - Street 1:570 LINCOLN AVE STE 4
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-2355
Practice Address - Country:US
Practice Address - Phone:917-293-9642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty