Organization Active NPI

MD Special Care LTD

  • Internal Medicine Physician
  • Glenview, IL
National Provider Identifier
1114974763
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036063246 Issued in IL
Legal business name
MD SPECIAL CARE LTD
Practice address
2150 Pfingsten Rd
Suite 2200
Glenview, IL 60026-1361
Phone
(847) 730-1100
Fax
(847) 730-1105
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Paula Pasowicz
Title
Biller
Phone
(847) 730-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036063246 IL Primary

Addresses

Primary practice location

2150 Pfingsten Rd
Suite 2200
Glenview, IL 60026-1361

Mailing address

2150 Pfingsten Rd
Suite 2200
Glenview, IL 60026-1361
Phone (847) 730-1100

Other identifiers 1

IdentifierTypeStateIssuer
1114974763OtherILNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1114974763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PFINGSTEN RD",
            "address_2": "SUITE 2200",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261361",
            "telephone_number": "847-730-1100",
            "fax_number": "847-730-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PFINGSTEN RD",
            "address_2": "SUITE 2200",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261361",
            "telephone_number": "847-730-1100",
            "fax_number": "847-730-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD SPECIAL CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "PASOWICZ",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "847-730-1100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036063246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114974763",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.