MEDICARE: COMPREHENSIVE WOMEN'S CARE

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	:	1508986753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE WOMEN'S CARE

Provider Business Mailing Address
First Line	:	800 W DIVERSEY PKWY
Second Line	:	3 RD FLOOR
City	:	CHICAGO
State	:	IL
Zip	:	60614-1412
Country	:	US
Telephone Number	:	773-327-8848
Fax Number	:	773-327-2892

Provider Business Practice Location Address
First Line	:	800 W DIVERSEY PKWY
Second Line	:	3 RD FLOOR
City	:	CHICAGO
State	:	IL
Zip	:	60614-1412
Country	:	US
Telephone Number	:	773-327-8848
Fax Number	:	773-327-2892

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TERESA A HUBKA
Credential	:	DO
Telephone Number	:	773-327-8848

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	08/22/2020

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Directions to “COMPREHENSIVE WOMEN'S CARE ” Practice Location

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