Active NPI
Itamer Botser
- Surgical Technologist
- Westmont, IL
National Provider Identifier
1225337728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- Practice address
- 1010 Executive Dr
Suite 250
Westmont, IL 60559-6135 - Phone
- (630) 323-6116
- Fax
- (630) 323-5309
- NPI assigned
- Mar 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | Primary |
Addresses
Primary practice location
1010 Executive Dr
Suite 250
Westmont, IL 60559-6135
Mailing address
1010 Executive Dr
Suite 250
Westmont, IL 60559-6135
Phone (630) 323-6116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1225337728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 EXECUTIVE DR",
"address_2": "SUITE 250",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596135",
"telephone_number": "630-323-6116",
"fax_number": "630-323-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 EXECUTIVE DR",
"address_2": "SUITE 250",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596135",
"telephone_number": "630-323-6116",
"fax_number": "630-323-5309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTSER",
"first_name": "ITAMER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-23",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.