WOMEN'S HEALTHCARE OF ILLINOIS – NPI #1770911208
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

WOMEN'S HEALTHCARE OF ILLINOIS is a provider located in MOKENA, IL. NPPES has assigned the NPI number 1770911208 to WOMEN'S HEALTHCARE OF ILLINOIS on October 18, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WOMEN'S HEALTHCARE OF ILLINOIS” is a dba name, the actual legal business name for this organization is PROVIDEA HEALTH PARTNERS, LLC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 2 years ago on Feb 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WOMEN'S HEALTHCARE OF ILLINOIS below.

NPI Profile for
PROVIDEA HEALTH PARTNERS, LLC

NPI Number
1770911208
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDEA HEALTH PARTNERS, LLC
Doing Business As (dba): WOMEN'S HEALTHCARE OF ILLINOIS
Other name(s)
All associated names:
Doing Business As (dba)
Family First Medical Group
Doing Business As (dba)
Women's Healthcare of Illinois
Primary location
10260 191ST ST
SUITE 100
MOKENA, IL 60448-8801
Phone: (708) 572-7606 Fax: (708) 469-4358
1 Other location(s):
9730 S Western Ave Ste 700
Evergreen Park, IL 60805-2814
Phone: (708) 425-1907
Fax: (708) 422-4253
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EILEEN JOHNSON
DIRECTOR
Phone: (708) 945-6470
Updated
Certification Date
Feb 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.