Whalio Doctors

NPI 1477611028

Womens Specialty Care Sc

Organisation Obstetrics & Gynecology Physician Lake Forest, IL

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
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 036093085 (IL)
Radiology Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0200X
Mammography Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0206X

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.