Organization Active NPI

Pathway Health Services LLC

  • Neurology Physician
  • Chicago, IL
National Provider Identifier
1043445935
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036084695 Issued in IL
Legal business name
PATHWAY HEALTH SERVICES LLC
Practice address
5544 N Western Ave
Chicago, IL 60625-2217
Phone
(773) 561-5400
Fax
(773) 561-5402
NPI assigned
May 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Dr. Joel S Mostow, M.D.
Title
Owner
Phone
(773) 561-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 036084695 IL Primary

Addresses

Primary practice location

5544 N Western Ave
Chicago, IL 60625-2217

Mailing address

5544 N Western Ave
Chicago, IL 60625-2217
Phone (773) 561-5400

Other identifiers 1

IdentifierTypeStateIssuer
036084695MedicaidIL

National Provider Directory

National Provider Directory

Locations

5544 N Western Ave
Chicago, IL 60625
Phone (773) 561-5400

440 N Wells St
Ste 760
Chicago, IL 60654
Phone (312) 504-3395

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1043445935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252217",
            "telephone_number": "773-561-5400",
            "fax_number": "773-561-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252217",
            "telephone_number": "773-561-5400",
            "fax_number": "773-561-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "MOSTOW",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-561-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036084695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084695",
            "state": "IL"
        }
    ],
    "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 May 20, 2009; 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.