Organization Active NPI

William Mikaitis MD SC

  • Family Medicine Physician
  • Orland Park, IL
National Provider Identifier
1255351045
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILLIAM MIKAITIS MD SC
Practice address
10811 W 143Rd St
Ste 100
Orland Park, IL 60467-1913
Phone
(708) 460-2500
Fax
(708) 364-1799
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Mikaitis, MD
Title
President
Phone
(708) 460-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

10811 W 143Rd St
Ste 100
Orland Park, IL 60467-1913

Mailing address

10811 W 143Rd St
Ste 100
Orland Park, IL 60467-1913
Phone (708) 460-2500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255351045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10811 W 143RD ST",
            "address_2": "STE 100",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671913",
            "telephone_number": "708-460-2500",
            "fax_number": "708-364-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 W 143RD ST",
            "address_2": "STE 100",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671913",
            "telephone_number": "708-460-2500",
            "fax_number": "708-364-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM MIKAITIS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIKAITIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-460-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.