# AMERICAN WOMENS MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Western Diversey Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265583934
- **Authorized official:** RENLIN XIA M.D. (OWNER)
- **Authorized official phone:** (773) 235-8000

## Contact information

- **Practice address:** 2744 N WESTERN AVE, CHICAGO, IL 60647
- **Practice address phone:** (773) 772-7726
- **Practice address fax:** (773) 772-3696
- **Mailing address:** 2744 N WESTERN AVE, CHICAGO, IL 60647
- **Mailing address phone:** (773) 772-7726
- **Mailing address fax:** (773) 772-3696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7000037 | IL | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 06/14/2019