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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