NPIMap

Organization Active NPI

Westlake Hospital

  • Clinic/Center
  • Melrose Park, IL
National Provider Identifier
1245356542
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WESTLAKE HOSPITAL
Practice address
1111 Superior St Ste 101
Melrose Park, IL 60160-4100
Phone
(708) 344-2161
Fax
(708) 344-3156
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Dr. Vijay V Yeldandi, M.D.
Title
Medical Director
Phone
(708) 938-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1111 Superior St Ste 101
Melrose Park, IL 60160-4100

Mailing address

1111 Superior St Ste 101
Melrose Park, IL 60160-4100
Phone (708) 344-2161

Other identifiers 2

IdentifierTypeStateIssuer
036069861MedicaidIL
1623610OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Westlake Medical Associates Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1245356542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST STE 101",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604100",
            "telephone_number": "708-344-2161",
            "fax_number": "708-344-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST STE 101",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604100",
            "telephone_number": "708-344-2161",
            "fax_number": "708-344-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "YELDANDI",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "708-938-7350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069861",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1623610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Medical Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 27, 2009; 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.