Mea Medical Care Centers, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MEA MEDICAL CARE CENTERS, LLC

Practice address

1339 W Lake St
Addison, IL 60101-1836

Phone

(630) 930-5600

NPI assigned

Jul 13, 2006

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Sullivan, M.D.

Title

Owner

Phone

(630) 472-8800

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark J Gordon, MD

  • Emergency Medicine Physician
  • Elk Grove, IL
  • NPI 1518915065
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1063437721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 4043 PO BOX 3594",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605223594",
            "telephone_number": "630-875-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011836",
            "telephone_number": "630-930-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEA MEDICAL CARE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-472-8800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystyna Matysiuk
• Royal Mayer
• Mary Jo McDonnell, LCPC
• Mitchell McIntosh
• Angela D McNeill
• Tracy Meade, APRN
• Maria Luna Medlicott, MS, OTR/L
• Sarah Melby, CPNP-PC
• Lorena Mendoza
• Rachel Menge, LCSW, LMSW

• Emergency Medicine Physician in Addison, IL
• Providers in Addison, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.