NPIMap

Organization Active NPI

Forest View Medical Center, LTD.

  • Ambulatory Surgical Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1255476370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7002793 Issued in IL
Legal business name
FOREST VIEW MEDICAL CENTER, LTD.
Practice address
2750 S River Rd
Des Plaines, IL 60018-4103
Phone
(847) 375-1000
NPI assigned
Feb 20, 2007
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
Tammy Stern
Title
Assistant Administrator
Phone
(847) 255-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7002793 IL Primary

Addresses

Primary practice location

2750 S River Rd
Des Plaines, IL 60018-4103

Mailing address

PO Box 681039
Schaumburg, IL 60168-1039
Phone (847) 255-7400

Other identifiers 1

IdentifierTypeStateIssuer
50420OtherILBC BS NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255476370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681039",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601681039",
            "telephone_number": "847-255-7400",
            "fax_number": "847-398-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S RIVER RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184103",
            "telephone_number": "847-375-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST VIEW MEDICAL CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "847-255-7400"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS NUMBER",
            "identifier": "50420",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, 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.