Active NPI
Niles Medical S.C.
- Clinic/Center
- Niles, IL
National Provider Identifier
1043469372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 036054224
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.