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PREMIER WOMENS HEALTH ASSOCIATES SC NPI 1437184363


NPI Information

NPI: 1437184363
Provider Name: PREMIER WOMENS HEALTH ASSOCIATES SC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 14D1024559

Address:
1710 N RANDALL RD
SUITE 360
ELGIN, IL
ZIP 60123
Phone: (847) 289-8262
Get Directions

PREMIER WOMENS HEALTH ASSOCIATES SC is an obstetrics gynecology in Elgin, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PREMIER WOMENS HEALTH ASSOCIATES SC NPI is 1437184363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1710 N RANDALL RD
SUITE 360
ELGIN, IL
ZIP 60123-400
Phone: (847) 289-8262
Fax: (847) 214-5745

The provider's authorized official is Kevin A Copley .
The authorized official title is Director and has the following contact phone number (847) 289-8262.

The CLIA number assigned to this NPI record is 14D1024559 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/11/2006 and was last updated on 12/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology036084462ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105632088OTHERILLINOISBLUE CROSS/BLUE SHIELD
2208603MEDICARE PINILLINOIS
3DG3689MEDICARE PINILLINOIS
4208602MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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