Healthcare Provider Details
I. General information
NPI: 1710959721
Provider Name (Legal Business Name): WOMEN'S HEALTHFIRST L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/03/2006
Last Update Date: 11/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 W LAKE COOK RD SUITE 120
BUFFALO GROVE IL
60089-2089
US
IV. Provider business mailing address
600 W LAKE COOK RD SUITE 120
BUFFALO GROVE IL
60089-2089
US
V. Phone/Fax
- Phone: 847-808-8884
- Fax: 847-808-8890
- Phone: 847-808-8884
- Fax: 847-808-8890
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ERWIN
GEORGE
SZELA
JR.
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 847-808-8884