HSHS Medical Group Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HSHS MEDICAL GROUP INC

Doing business as

HSHS Medical Group Family Medicine

Practice address

109 E Elm St
Streator, IL 61364-2223

Phone

(815) 672-4587

Fax

(815) 673-3582

NPI assigned

May 15, 2014

Last updated

May 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Melinda Clark

Title

Ceo

Phone

(217) 492-9696

Specialties & licenses 1

Addresses

Other names 1

• HSHS Medical Group Family Medicine Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• HSHS Prairie, Inc

  dba HSHS Medical Group Inc

  • Rural Health Clinic/Center
  • Highland, IL
  • NPI 1851536296

  Member Of

  NPD member

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1245641018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E ELM ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642223",
            "telephone_number": "815-672-4587",
            "fax_number": "815-673-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E ELM ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642223",
            "telephone_number": "815-672-4587",
            "fax_number": "815-673-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSHS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-492-9696",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HSHS Medical Group Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Curtis Herwig, DC
• Patricia A Hess, NP
• Jodi Hiltabrand, CCC-SLP/L
• Tyler Joseph Hogan, DPT
• Kelli Marie Hollenbeck, APN, PMHNP
• Brian M. Hughes, D.D.S.
• Illinois Valley Brain Injury Clubhouse
• Illinois Valley Radiology
• Indra Pal MDSC
• Infinity-Meds LLP

• Rural Health Clinic/Center in Streator, IL
• Providers in Streator, IL by specialty
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.