Healthcare Provider Details

I. General information

NPI: 1558329151
Provider Name (Legal Business Name): HWOV, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 10/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 OGDEN AVE
AURORA IL
60504-7597
US

IV. Provider business mailing address

2111 OGDEN AVE
AURORA IL
60504-7597
US

V. Phone/Fax

Practice location:
  • Phone: 630-978-3800
  • Fax: 630-862-3086
Mailing address:
  • Phone: 630-978-3800
  • Fax: 630-862-3086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number7002611
License Number StateIL

VIII. Authorized Official

Name: MARK F SCHINSKY
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 630-978-3800