Organization
PREMIER WOMENS HEALTH ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN A COPLEY MD (DIRECTOR)
(847) 289-8262
Entity
Organization
Contact information
Practice address
1710 N RANDALL RD, SUITE 360, ELGIN, IL 60123-9400
(847) 289-8262
(847) 214-5745
Mailing address
1710 N RANDALL RD, SUITE 360, ELGIN, IL 60123-9400
(847) 289-8262
(847) 214-5745
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036084462
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632088
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
07/11/2006
Last updated
06/12/2024
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