Usacs Integrated Acute Care Services of Illinois, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

USACS INTEGRATED ACUTE CARE SERVICES OF ILLINOIS, LLC

Practice address

12935 Gregory St
Blue Island, IL 60406-2428

Phone

(330) 493-4443

NPI assigned

Aug 5, 2017

Organization subpart

No

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

Authorized official

Name

Dominic Joseph Bagnoli Jr., MD

Title

Ceo

Phone

(330) 493-4443

Specialties & licenses 1

Addresses

Practitioners 3

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

• Candice N Gremley, PA-C

  • Physician Assistant
  • Kankakee, IL
  • NPI 1609972645
  NPD (past)
• Melissa Krainson, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1124365051
  NPD (past)
• Robert Ryan

  • Medical Physician Assistant
  • Rockville, MD
  • NPI 1750306049
  NPD (past)

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

{
    "created_epoch": "1501891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501891200000",
    "number": "1235654757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 GREGORY ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062428",
            "telephone_number": "330-493-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USACS INTEGRATED ACUTE CARE SERVICES OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-05",
        "last_updated": "2017-08-05",
        "status": "A",
        "authorized_official_last_name": "BAGNOLI",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-493-4443",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Nutrition Solutions Inc
• Scott Traylor
• Heather Turnelius
• Unlimited Potential, NFP
• Upfront Transportation
• Brinda Vaidya
• David Vallejo Jr., M.D.
• Value Care Centers, LLC
• Shaneil Elizabeth Vance
• Julie G Vanderbilt, MD

• Internal Medicine Physician in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2017; 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.