Provider Demographics
NPI:1174379234
Name:PREMIER CARE FOR WOMEN PLLC
Entity type:Organization
Organization Name:PREMIER CARE FOR WOMEN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BUTHAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JABIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-309-2164
Mailing Address - Street 1:1012 95TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-5040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1012 95TH ST STE 1
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-5040
Practice Address - Country:US
Practice Address - Phone:331-316-9362
Practice Address - Fax:630-982-3872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty