Organization
COMPREHENSIVE WOMENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY C CHLIPALA (PRACTICE ADMINISTRATOR)
(847) 808-7070
Entity
Organization
Contact information
Practice address
1083 E LAKE COOK RD, WHEELING, IL 60090-2502
(847) 808-7070
(847) 808-7474
Mailing address
1083 E LAKE COOK RD, WHEELING, IL 60090-2502
(847) 808-7070
(847) 808-7474
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042617403
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091075
—
IL
01
—
06123696
BCBS
IL
Enumeration date
02/19/2007
Last updated
11/19/2007
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