Prosalud6238 Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036085902 Issued in IL

Legal business name

PROSALUD6238 INC

Practice address

6238 Cermak Rd
Berwyn, IL 60402-2319

Phone

(708) 795-5020

Fax

(708) 795-5158

NPI assigned

Dec 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Canelas

Title

MD

Phone

(708) 829-7422

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joaquin Lopez, M.D.

  • Pediatrics Physician
  • Berwyn, IL
  • NPI 1295858694
  NPD (past)

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1013452168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6238 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022319",
            "telephone_number": "708-795-5020",
            "fax_number": "708-795-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022319",
            "telephone_number": "708-795-5020",
            "fax_number": "708-795-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSALUD6238 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "CANELAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "708-829-7422",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036085902",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036084800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry L Price Jr., MBA
• Sarah Price, MSW
• Primary Care Associates LTD
• Sara Elizabeth Prischak
• Prompt Medical Care Inc
• Richard Pugh
• Pulmonary and Critical Care Physicians PC
• Aditi Puri, MD
• Kimberly Pyle, MD
• Xiaoying Qiao, MD

• Pediatrics Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.