Healthcare Provider Details

I. General information

NPI: 1609684489
Provider Name (Legal Business Name): WOMEN'S HEALTH & BEYOND PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2024
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HOLIDAY PLAZA DR STE 501
MATTESON IL
60443-2359
US

IV. Provider business mailing address

600 HOLIDAY PLAZA DR STE 501
MATTESON IL
60443-2359
US

V. Phone/Fax

Practice location:
  • Phone: 708-412-3605
  • Fax:
Mailing address:
  • Phone: 708-412-3605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: CLARESSA HAWKINS
Title or Position: CO-OWNER
Credential: NP
Phone: 708-412-3605