# NORTHERN ILLINOIS WOMEN'S CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578752887
- **Authorized official:** DENNIS D CHRISTENSEN M.D. (CLINIC DIRECTOR)
- **Authorized official phone:** (815) 963-4101

## Contact information

- **Practice address:** 1400 BROADWAY, SUITE 201, ROCKFORD, IL 61104-1400
- **Practice address phone:** (815) 963-4101
- **Practice address fax:** (815) 963-6122
- **Mailing address:** 1400 BROADWAY, SUITE 201, ROCKFORD, IL 61104-1400
- **Mailing address phone:** (815) 963-4101
- **Mailing address fax:** (815) 963-6122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | 7002967 | IL | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 06/18/2008