MEDICARE: WOMENS COMPLETE HEALTHCARE CTR SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician		IL

General Provider Information

NPI Number	:	1194840546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMENS COMPLETE HEALTHCARE CTR SC

Provider Business Mailing Address
First Line	:	800 BIESTERFIELD ROAD
Second Line	:	#4006 BROCK MEDICAL BUILDING
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3383
Country	:	US
Telephone Number	:	847-437-4418
Fax Number	:	847-437-9431

Provider Business Practice Location Address
First Line	:	800 BIESTERFIELD ROAD
Second Line	:	#4006 BROCK MEDICAL BUILDING
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3383
Country	:	US
Telephone Number	:	847-437-4418
Fax Number	:	847-437-9431

Authorized Official
Title or Position	:	MD OWNER
Name	:	DR. ZOFIA SYMANSKA
Credential	:	MD FACOG
Telephone Number	:	847-434-4418

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	08/22/2020

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