NPIMap

Organization Active NPI

Saints Mary and Elizabeth Medical Center

  • Obstetrics Physician
  • Streamwood, IL
National Provider Identifier
1245633726
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
SAINTS MARY AND ELIZABETH MEDICAL CENTER
Practice address
651 S Sutton Rd
Suite 260
Streamwood, IL 60107-2366
Phone
(630) 424-1122
Fax
(630) 396-2770
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
James Noble
Title
Billing Manager
Phone
(630) 239-5970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

651 S Sutton Rd
Suite 260
Streamwood, IL 60107-2366

Mailing address

2233 W Division St
Chicago, IL 60622-8151
Phone (630) 239-5970

National Provider Directory

National Provider Directory
Tax ID family
St Mary Nazareth Hosp9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

651 S Sutton Rd
Streamwood, IL 60107
Phone (630) 424-1122

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1245633726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228151",
            "telephone_number": "630-239-5970",
            "fax_number": "630-396-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S SUTTON RD",
            "address_2": "SUITE 260",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072366",
            "telephone_number": "630-424-1122",
            "fax_number": "630-396-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTS MARY AND ELIZABETH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "630-239-5970"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streamwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.