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Organization
WOMEN FIRST SPECIALISTS, S.C.
Active
Organization
WOMEN FIRST SPECIALISTS, S.C.
Active
Other names
WOMEN FIRST SPECIALISTS, S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
RAYNELDA HIDALGO MD (PRESIDENT)
(773) 792-0209
Entity
Organization
Contact information
Practice address
6121 N ELSTON AVE, CHICAGO, IL 60646-4703
(773) 792-0209
(773) 792-0112
Mailing address
6121 N ELSTON AVE, CHICAGO, IL 60646-4703
(773) 792-0209
(773) 792-0112
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
36059468
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
36087120
IL
207VX0000X
Obstetrics Physician
36112532
IL
207VX0000X
Obstetrics Physician
36122486
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112532
—
IL
01
—
1205837119
BCBS OF ILLINOIS
IL
05
—
36059468
—
IL
05
—
36087120
—
IL
05
—
36112532
—
IL
05
—
36122486
—
IL
Enumeration date
08/02/2005
Last updated
06/01/2021
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