Organization
ADVANCED HEALTHCARE FOR WOMEN,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT M. MULTACK D.O. (PHYSICIAN)
(708) 579-0974
Entity
Organization
Contact information
Practice address
5201 WILLOW SPRINGS RD STE 120, LA GRANGE HIGHLANDS, IL 60525-6540
(708) 579-0974
(708) 579-1402
Mailing address
5201 WILLOW SPRINGS RD STE 120, LA GRANGE HIGHLANDS, IL 60525-6540
(708) 579-0974
(708) 579-1402
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02201639
BCBS
IL
Enumeration date
06/14/2007
Last updated
08/22/2020
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