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General NPI Number Information
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NPI Number | 1477718849
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTHCARE ASSOCIATES LLC
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 800 AUSTIN ST 505W
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City | EVANSTON
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State | IL
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Zip | 60202-3439
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Country | US
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Telephone | 847-869-0434
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Fax | 847-869-1831
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Provider Business Mailing Address
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Address Line | 800 AUSTIN ST 505W
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City | EVANSTON
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State | IL
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Zip | 60202-3439
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Country | US
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Telephone | 847-869-0434
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Fax | 847-869-1831
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Authorized Official
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Title or Position | DOCTOR
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Name | THOMAS HERRIGES
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Credential | MD
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Telephone | 847-869-0437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 036072314
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License Number State | IL
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