MEDICARE: ALL WOMEN'S MEDICAL CENTER

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	207VG0400X	Gynecology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477727550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL WOMEN'S MEDICAL CENTER

Provider Business Mailing Address
First Line	:	3140 W IRVING PRK. RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618
Country	:	US
Telephone Number	:	773-478-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3140 W IRVING PRK. RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618
Country	:	US
Telephone Number	:	773-478-0700
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NELSON J LEHRER
Credential	:	MD
Telephone Number	:	773-478-0700

Provider Enumeration Date	:	04/18/2008
Last Update Date	:	04/20/2008

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