MEDICARE: NORTHWEST ASSOCIATES FOR WOMEN'S HEALTHCARE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	060006443	IL

General Provider Information

NPI Number	:	1033143532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST ASSOCIATES FOR WOMEN'S HEALTHCARE, P.C.

Provider Business Mailing Address
First Line	:	1786 MOON LAKE BLVD
Second Line	:	SUITE 207
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-5029
Country	:	US
Telephone Number	:	847-884-1800
Fax Number	:	847-755-1589

Provider Business Practice Location Address
First Line	:	1786 MOON LAKE BLVD STE 207
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-1067
Country	:	US
Telephone Number	:	847-884-1800
Fax Number	:	847-755-1589

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MELINDA RICE
Credential	:
Telephone Number	:	847-884-1800

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	07/13/2022

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