Provider Demographics
NPI:1215103015
Name:FEMACARE OBSTETRICS & GYNECOLOGY S.C
Entity type:Organization
Organization Name:FEMACARE OBSTETRICS & GYNECOLOGY S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAVNIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-626-7600
Mailing Address - Street 1:201 E STRONG ST STE 3
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-2979
Mailing Address - Country:US
Mailing Address - Phone:847-626-7600
Mailing Address - Fax:847-626-7603
Practice Address - Street 1:201 E STRONG ST STE 3
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-2979
Practice Address - Country:US
Practice Address - Phone:847-626-7600
Practice Address - Fax:847-626-7603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036107097207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1633473OtherBLUE CROSS BLUE SHIELD
IL036107097Medicaid
IL205304Medicare PIN
IL1633473OtherBLUE CROSS BLUE SHIELD