=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972719904
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WOMENS HEALTH CONSULTING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/15/2007
-----------------------------------------------------
Last Update Date | 08/27/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 S MICHIGAN AVE STE 1550
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60604
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-263-5517
-----------------------------------------------------
Fax | 312-986-8005
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 S MICHIGAN AVE STE 1550
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60604-2424
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-263-5517
-----------------------------------------------------
Fax | 312-986-8005
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PARTNER
-----------------------------------------------------
Name | DR. LEWIS S BLUMENTHAL
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 312-263-5517
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------