NPI 1477611028
Womens Specialty Care Sc
Practice location
- Address
- 840 S Waukegan Rd STE 208, Lake Forest, IL 60045-2619
- Phone
- (847) 295-0433
- Fax
- (847) 234-0034
- Mailing address
- 475 McCormick Dr, Lake Forest, IL 60045-3349
Authorised official
- Name
- Karen J Mass
- Title
- President
- Phone
- (847) 295-0433
Registered specialties (3)
Obstetrics & Gynecology Physician
Primary
Radiology Clinic/Center
Mammography Clinic/Center
Registry record
- NPI
- 1477611028
- Entity type
- Organization
- NPI issued
- 5 Dec 2006
- Record last updated
- 7 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.