NPIMap

Organization Active NPI

Medwest Consultants

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1023216595
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
336026227 Issued in IL
Legal business name
MEDWEST CONSULTANTS
Practice address
4754 N Lincoln Ave
Chicago, IL 60625-2010
Phone
(773) 878-4000
Fax
(773) 878-4100
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Dr. Amjad Zureikat, MD
Title
Medical Doctor
Phone
(773) 878-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 336026227 IL Primary

Addresses

Primary practice location

4754 N Lincoln Ave
Chicago, IL 60625-2010

Mailing address

4754 N Lincoln Ave
Chicago, IL 60625-2010
Phone (773) 878-4000

National Provider Directory

National Provider Directory
Tax ID family
Medwest Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1023216595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4754 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252010",
            "telephone_number": "773-878-4000",
            "fax_number": "773-878-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4754 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252010",
            "telephone_number": "773-878-4000",
            "fax_number": "773-878-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWEST CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "ZUREIKAT",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "773-878-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "336026227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.