Illinois Pathology Associates, LTD.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

ILLINOIS PATHOLOGY ASSOCIATES, LTD.

Practice address

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone

(708) 783-9100

NPI assigned

May 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Randall K McGivney, D.O.NPI 1710917836

Title

President

Phone

(630) 472-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

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

• Randall McGivney, DO

  • Clinical Pathology/Laboratory Medicine Physician
  • Oak Park, IL
  • NPI 1710917836
  Medicare reassignment Care Compare group NPD Authorized official
• Amer Abboud, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Berwyn, IL
  • NPI 1154348696
  Medicare reassignment Care Compare group NPD
• Xiaoying Qiao, MD

  • Anatomic Pathology Physician
  • Berwyn, IL
  • NPI 1912936584
  Medicare reassignment Care Compare group NPD
• Aisha Jaleel, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1619968203
  Medicare reassignment NPD
• Rebecca Lynne Eary, DO

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1396972865
  NPD

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1043501554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SPRING RD",
            "address_2": "SUITE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231804",
            "telephone_number": "630-472-8800",
            "fax_number": "630-472-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023429",
            "telephone_number": "708-783-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS PATHOLOGY ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "MCGIVNEY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-472-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hiba Qaisar Hussain, PHARMD, RPH
• Tariq Bin Iftikhar, M.D.
• Ignacio Perez Arizmendi- LCSW, LLC
• Eustacia Chiamaka Ikeri, MD
• Illinois Laboratory Medicine Associates
• Alyssa Imbordino, MA
• In Motion Counseling
• Integrated Pain Management (Berwyn) LTD
• Ben Remor Escalante Inventor, CNP
• Joshua Inventor, O.T.

• Clinical Pathology/Laboratory Medicine Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Clinical Pathology/Laboratory Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.