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General NPI Number Information
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NPI Number | 1952477887
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Entity Type | Organization
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Legal Business Name | THE WOMAN'S WELLNESS CENTER, P.C.
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4321 FIR STREET SUITE 315
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City | EAST CHICAGO
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State | IN
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Zip | 46312-3049
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Country | US
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Telephone | 219-397-1758
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Fax | 219-397-5822
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Provider Business Mailing Address
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Address Line | 9136 COLUMBIA AVENUE
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City | MUNSTER
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State | IN
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Zip | 46321-2907
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Country | US
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Telephone | 219-836-0000
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Fax | 219-836-5428
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY YESSENOW
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Credential | M.D.
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Telephone | 219-922-4200
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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 | 50002680A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 50002680A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 50002680A
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License Number State | IN
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