NPIMap

Organization Active NPI

Vitas Healthcare Corporation of Illinois

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Lombard, IL
National Provider Identifier
1275309346
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
VITAS HEALTHCARE CORPORATION OF ILLINOIS
Practice address
580 Waters Edge Ste 100
Lombard, IL 60148-6431
Phone
(630) 495-8484
NPI assigned
Nov 30, 2023
Organization subpart
Yes
Parent organization
VITAS HEALTHCARE CORPORATION OF ILLINOISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Nicholas Westfall
Title
President & Ceo
Phone
(513) 618-2240

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

580 Waters Edge Ste 100
Lombard, IL 60148-6431

Mailing address

255 E 5TH St Ste 1050
Cincinnati, OH 45202-4121
Phone (513) 618-2243

Other names 1

  • Chicagoland NW Palliative Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Vitas Healthcare Corporation of Illinois8 organizations share this tax ID, including this one
Part of
Vitas Healthcare Corporation of Illinois

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1275309346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E 5TH ST STE 1050",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024121",
            "telephone_number": "513-618-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 WATERS EDGE STE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486431",
            "telephone_number": "630-495-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS HEALTHCARE CORPORATION OF ILLINOIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITAS HEALTHCARE CORPORATION OF ILLINOIS",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "513-618-2240"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicagoland NW Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.