NPIMap

Organization Active NPI

Medwest Consultations,Inc

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1164556981
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036061660 Issued in IL
Legal business name
MEDWEST CONSULTATIONS,INC
Doing business as
Medwest consultations,Inc
Practice address
4754 N Lincoln Ave
Chicago, IL 60625-2010
Phone
(773) 878-4000
Fax
(773) 878-4141
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Amjad Zureikat, MD
Title
Owner
Phone
(773) 878-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036061660 IL Primary

Addresses

Primary practice location

4754 N Lincoln Ave
Chicago, IL 60625-2010

Mailing address

4754 N Lincoln Ave
Chicago, IL 60625-2010
Phone (773) 878-4000

Other names 1

  • Medwest consultations,Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medwest Consultants2 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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1164556981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4754 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252010",
            "telephone_number": "773-878-4000",
            "fax_number": "773-878-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4754 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252010",
            "telephone_number": "773-878-4000",
            "fax_number": "773-878-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWEST CONSULTATIONS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ZUREIKAT",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-878-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036061660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medwest consultations,Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.