Organization Active NPI

West Suburban Infectious Disease Specialists SC

  • Infectious Disease Physician
  • Melrose Park, IL
National Provider Identifier
1073608162
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
042617977 Issued in IL
Legal business name
WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS SC
Practice address
1111 Superior St Ste 409
Melrose Park, IL 60160-4159
Phone
(708) 410-2880
Fax
(708) 410-2884
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Dr. Nausica D'Alfonso- Laghi, MDNPI 1831268432
Title
Owner
Phone
(630) 267-4255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 042617977 IL Primary

Addresses

Primary practice location

1111 Superior St Ste 409
Melrose Park, IL 60160-4159

Mailing address

1111 Superior St Ste 409
Melrose Park, IL 60160-4159
Phone (708) 410-2880

Other identifiers 1

IdentifierTypeStateIssuer
01632409OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050801000410 IL Part B Supplier - Clinic/Group Practice 4880622869 Receives reassigned benefits from 2 practitioners
Practice locations: Berwyn, IL; Chicago, IL; Elmhurst, IL; Melrose Park, IL; Northlake, IL; Oak Park, IL

National Provider Directory

National Provider Directory

Locations

1111 Superior St
Ste 409
Melrose Park, IL 60160
Phone (708) 343-7451

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1073608162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST STE 409",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604159",
            "telephone_number": "708-410-2880",
            "fax_number": "708-410-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST STE 409",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604159",
            "telephone_number": "708-410-2880",
            "fax_number": "708-410-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "D'ALFONSO- LAGHI",
        "authorized_official_first_name": "NAUSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-267-4255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "042617977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01632409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.