Healthcare Provider Details

I. General information

NPI: 1093713364
Provider Name (Legal Business Name): HIGHLAND WOMEN'S CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3103 W KUNKLE BLVD
FREEPORT IL
61032-6922
US

IV. Provider business mailing address

3103 W KUNKLE BLVD
FREEPORT IL
61032-6922
US

V. Phone/Fax

Practice location:
  • Phone: 815-233-0999
  • Fax: 815-233-7255
Mailing address:
  • Phone: 815-233-0999
  • Fax: 815-233-7255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number StateIL

VIII. Authorized Official

Name: MRS. DAWN M HILL
Title or Position: BUSINESS MANAGER
Credential:
Phone: 815-232-0999