NPIMap

Organization Active NPI

Flawless Service Corporation

  • Health Service Clinic/Center
  • Melrose Park, IL
National Provider Identifier
1144686676
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
036079325 Issued in IL
Legal business name
FLAWLESS SERVICE CORPORATION
Practice address
1272 Winston PLZ
Melrose Park Clinic
Melrose Park, IL 60160-1507
Phone
(708) 615-7546
NPI assigned
Jan 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dr. Elton Xavier Tinley
Title
Physician/Surgeon
Phone
(312) 222-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 036079325 IL Primary

Addresses

Primary practice location

1272 Winston PLZ
Melrose Park Clinic
Melrose Park, IL 60160-1507

Mailing address

PO Box 804193
Chicago, IL 60680-4103
Phone (312) 222-0030

National Provider Directory

National Provider Directory
Tax ID family
Flawless SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1272 Winston Plz
Melrose Park, IL 60160
Phone (708) 615-7546

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1144686676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 804193",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606804103",
            "telephone_number": "312-222-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 WINSTON PLZ",
            "address_2": "MELROSE PARK CLINIC",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601507",
            "telephone_number": "708-615-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAWLESS SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "TINLEY",
        "authorized_official_first_name": "ELTON",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "PHYSICIAN/SURGEON",
        "authorized_official_telephone_number": "312-222-0030",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "036079325",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 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.