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NPI Code Detail

MEDICARE: WOMEN FOR WOMEN OB-GYN SC

MEDICARE: WOMEN FOR WOMEN OB-GYN SC
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
1207V00000XObstetrics & Gynecology PhysicianIL

General Provider Information

NPI Number : 1841225844
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMEN FOR WOMEN OB-GYN SC
Provider Business Mailing Address
First Line : 6438 N CENTRAL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60646-2935
Country : US
Telephone Number : 773-775-7883
Fax Number : 773-775-7885
Provider Business Practice Location Address
First Line : 6438 N CENTRAL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60646-2935
Country : US
Telephone Number : 773-775-7883
Fax Number : 773-775-7885
Authorized Official
Title or Position : DIRECTOR
Name : DR. KORNELIA KROL
Credential : M.D.
Telephone Number : 773-775-7883
Provider Enumeration Date : 07/11/2006
Last Update Date : 08/22/2020

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Directions to “WOMEN FOR WOMEN OB-GYN SC ” Practice Location

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