Organization Active NPI

Medical Access Group Inc

  • Health Service Clinic/Center
  • Westchester, IL
National Provider Identifier
1003177320
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MEDICAL ACCESS GROUP INC
Practice address
10001 W Roosevelt Rd
Suite 224
Westchester, IL 60154-2664
Phone
(708) 356-4300
Fax
(708) 356-4301
NPI assigned
Jun 4, 2012
Last updated
Jun 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Velma Smith
Title
Manager
Phone
(708) 356-4300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

10001 W Roosevelt Rd
Suite 224
Westchester, IL 60154-2664

Mailing address

10001 W Roosevelt Rd
Suite 224
Westchester, IL 60154-2664
Phone (708) 356-4300

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1003177320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W ROOSEVELT RD",
            "address_2": "SUITE 224",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542664",
            "telephone_number": "708-356-4300",
            "fax_number": "708-356-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 W ROOSEVELT RD",
            "address_2": "SUITE 224",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542664",
            "telephone_number": "708-356-4300",
            "fax_number": "708-356-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ACCESS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VELMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-356-4300"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.