Organization Active NPI

Niles Medical S.C.

  • Clinic/Center
  • Niles, IL
National Provider Identifier
1043469372
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
036054224 Issued in IL
Legal business name
NILES MEDICAL S.C.
Practice address
7157 W Howard St
Niles, IL 60714-3757
Phone
(847) 647-1771
Fax
(847) 647-5981
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Edwin John Adamski Jr., M.D.
Title
President
Phone
(847) 647-1771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 036054224 IL Primary

Addresses

Primary practice location

7157 W Howard St
Niles, IL 60714-3757

Mailing address

7157 W Howard St
Niles, IL 60714-3757
Phone (847) 647-1771

National Provider Directory

National Provider Directory

Locations

7157 W Howard St
Niles, IL 60714
Phone (847) 647-1771

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1043469372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 W HOWARD ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143757",
            "telephone_number": "847-647-1771",
            "fax_number": "847-647-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 W HOWARD ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143757",
            "telephone_number": "847-647-1771",
            "fax_number": "847-647-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILES MEDICAL S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "ADAMSKI",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-647-1771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036054224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.