Active NPI
Pathway Health Services LLC
- Neurology Physician
- Chicago, IL
National Provider Identifier
1043445935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036084695
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036084695 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1942440292
-
- Clinical Social Worker
- Chicago, IL
- NPI 1740505577
-
- Psychiatry Physician
- Ravenswood, WV
- NPI 1821038159
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.