Provider Demographics
NPI:1609684489
Name:WOMEN'S HEALTH & BEYOND PLLC
Entity type:Organization
Organization Name:WOMEN'S HEALTH & BEYOND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:708-412-3605
Mailing Address - Street 1:600 HOLIDAY PLAZA DR STE 501
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2359
Mailing Address - Country:US
Mailing Address - Phone:708-412-3605
Mailing Address - Fax:
Practice Address - Street 1:600 HOLIDAY PLAZA DR STE 501
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2359
Practice Address - Country:US
Practice Address - Phone:708-412-3605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-24
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty