Organization
NORTHSHORE WOMEN'S HEALTH ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY A MCENTEE RN (OFFICE MANAGER)
(847) 432-1558
Entity
Organization
Contact information
Practice address
767 PARK AVE W, SUITE 240, HIGHLAND PARK, IL 60035-2400
(847) 432-1558
(847) 432-6981
Mailing address
767 PARK AVE W, SUITE 240, HIGHLAND PARK, IL 60035-2400
(847) 432-1558
(847) 432-6981
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04915056
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/11/2006
Last updated
08/22/2020
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