NPIMap

Organization Active NPI

Ade Esthetics Medbar

  • Clinical Laboratory Director (Non-physician)
  • Country Club Hills, IL
National Provider Identifier
1104586205
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Legal business name
ADE ESTHETICS MEDBAR
Practice address
17907 Fairoaks Dr
Country Club Hills, IL 60478-2930
Phone
(773) 870-2970
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Mary OshipitanNPI 1710736640
Title
President
Phone
(773) 870-2970

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
Clinical Laboratory Director (Non-physician)Group: 193400000X SINGLE SPECIALTY GROUP 247ZC0005X Primary

Addresses

Primary practice location

17907 Fairoaks Dr
Country Club Hills, IL 60478-2930

Mailing address

17907 Fairoaks Dr
Country Club Hills, IL 60478-2930

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ademedbar.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1104586205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17907 FAIROAKS DR",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604782930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17907 FAIROAKS DR",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604782930",
            "telephone_number": "773-870-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADE ESTHETICS MEDBAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "OSHIPITAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-870-2970"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ademedbar.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17907 Fairoaks Dr",
            "city": "Country Club Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604782930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Country Club Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.