Southwest Rheumatology PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

036083298 Issued in IL

Legal business name

SOUTHWEST RHEUMATOLOGY PC

Practice address

2850 W 95TH St
Suite 200
Evergreen Park, IL 60805-2735

Phone

(708) 423-1130

Fax

(708) 423-3610

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Paul Delbusto, M.D

Title

Doctor

Phone

(708) 423-1130

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ximena Ysabel Chavez, M.D.

  • Rheumatology Physician
  • Skokie, IL
  • NPI 1912196502
  NPD (past)
• Michael M Stachowski, M.D.

  • Internal Medicine Physician
  • Evergreen Park, IL
  • NPI 1144267253
  NPD (past)
• Karen Hazel Whitman, APN

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1912026584
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1205958923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST",
            "address_2": "SUITE 200",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052735",
            "telephone_number": "708-423-1130",
            "fax_number": "708-423-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST",
            "address_2": "SUITE 200",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052735",
            "telephone_number": "708-423-1130",
            "fax_number": "708-423-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST RHEUMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "DELBUSTO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "708-423-1130",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036083298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ6175",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01632140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louann Marie Sopata, R.D.
• George Sousanieh, MD
• Southwest Hand Rehabilitation LTD
• Southwest Medical and Psychiatric Services
• Southwest Physicians Associates, S. C.
• Southwest Urgent Care LTD
• Joaquim Spadoni Barboza, M.D.
• William H Spear, M.D.
• Lara Stachler
• Michael M Stachowski, M.D.

• Rheumatology Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.