MEDICARE: HIGHLAND WOMEN'S CARE

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	363LW0102X	Women's Health Nurse Practitioner		IL
2	207V00000X	Obstetrics & Gynecology Physician		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08932003	OTHER	IL	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1093713364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLAND WOMEN'S CARE

Provider Business Mailing Address
First Line	:	3103 W KUNKLE BLVD
Second Line	:
City	:	FREEPORT
State	:	IL
Zip	:	61032-6922
Country	:	US
Telephone Number	:	815-233-0999
Fax Number	:	815-233-7255

Provider Business Practice Location Address
First Line	:	3103 W KUNKLE BLVD
Second Line	:
City	:	FREEPORT
State	:	IL
Zip	:	61032-6922
Country	:	US
Telephone Number	:	815-233-0999
Fax Number	:	815-233-7255

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MRS. DAWN M HILL
Credential	:
Telephone Number	:	815-232-0999

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	09/11/2025

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Directions to “HIGHLAND WOMEN'S CARE ” Practice Location

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