Provider Demographics
NPI:1245247386
Name:PARTNERS IN WOMENS HEALTH,LLC
Entity type:Organization
Organization Name:PARTNERS IN WOMENS HEALTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHORZEMPA-SCHAINIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-386-2400
Mailing Address - Street 1:7420 CENTRAL AVE
Mailing Address - Street 2:SUITE 2030
Mailing Address - City:RIVER FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60305-1800
Mailing Address - Country:US
Mailing Address - Phone:708-386-2400
Mailing Address - Fax:708-386-8458
Practice Address - Street 1:7420 CENTRAL AVE
Practice Address - Street 2:SUITE 2030
Practice Address - City:RIVER FOREST
Practice Address - State:IL
Practice Address - Zip Code:60305-1800
Practice Address - Country:US
Practice Address - Phone:708-386-2400
Practice Address - Fax:708-366-8458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208932Medicare ID - Type Unspecified