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General NPI Number Information
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NPI Number | 1649268145
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Entity Type | Organization
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Legal Business Name | CHICAGO WOMEN'S HEALTHCARE, SC
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 04/05/2013
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Provider Practice Location Address
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Address Line | 2600 S MICHIGAN AVE SUITE 305
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City | CHICAGO
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State | IL
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Zip | 60616-2857
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Country | US
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Telephone | 312-326-4500
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Fax | 312-326-1200
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Provider Business Mailing Address
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Address Line | 2600 S MICHIGAN AVE SUITE 305
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City | CHICAGO
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State | IL
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Zip | 60616-2857
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Country | US
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Telephone | 312-326-4500
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Fax | 312-326-1200
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CHERYL DENISE WOLFE
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Credential | M.D.
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Telephone | 312-326-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036096073
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License Number State | IL
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