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Organization

CHICAGO WOMEN'S HEALTHCARE, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHERYL DENISE WOLFE M.D. (DIRECTOR)
(312) 326-4500
Entity
Organization

Contact information

Practice address
2600 S MICHIGAN AVE, SUITE 305, CHICAGO, IL 60616-2857
(312) 326-4500
(312) 326-1200
Mailing address
2600 S MICHIGAN AVE, SUITE 305, CHICAGO, IL 60616-2857
(312) 326-4500
(312) 326-1200

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036096073
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01632952
BCBS
IL
05
036096073
IL
01
160059246
RAILROAD MEDICARE
IL
Enumeration date
10/10/2005
Last updated
04/05/2013
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