Medical One, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MEDICAL ONE, LLC

Practice address

9660 Franklin Ave
Franklin Park, IL 60131-2704

Phone

(224) 789-9134

NPI assigned

Mar 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gina Abraham, MD

Title

Cmo

Phone

(224) 789-9134

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457827200000",
    "number": "1073974424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 HAWTHORNE ST",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601762413",
            "telephone_number": "224-789-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 FRANKLIN AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312704",
            "telephone_number": "224-789-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-13",
        "last_updated": "2016-03-13",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "224-789-9134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Franklin Park, IL
• Providers in Franklin Park, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.