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Organization

WOMEN'S DOC OF ELGIN, S. C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHERI B MERCHANT MD (PRESIDENT)
(847) 839-8800
Entity
Organization

Contact information

Practice address
87 N AIRLITE ST, SUITE G14, ELGIN, IL 60123-4988
(847) 289-6020
(847) 289-6029
Mailing address
PO BOX 95748, HOFFMAN ESTATES, IL 60195-0748
(847) 839-8800
(847) 839-8808

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036116215
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
208000000X
Pediatrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295763886
NPI NUMBER
IL
01
2232882
BCBS
IL
Enumeration date
06/30/2006
Last updated
06/20/2008
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