Maine Ridge Medical Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MAINE RIDGE MEDICAL ASSOCIATES

Practice address

9301 Golf Rd
Suite 302
Des Plaines, IL 60016-1667

Phone

(847) 296-8151

Fax

(847) 296-3915

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Lynn McRoy

Title

Billing Coordinator

Phone

(773) 767-3822

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William C Blustein, M.D.

  • Internal Medicine Physician
  • Des Plaines, IL
  • NPI 1427197656
  NPD
• Steven H Wolfman, D.O.

  • Internal Medicine Physician
  • Northfield, IL
  • NPI 1184763542
  NPD
• Steven E Tureff, M.D.

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1104965599
  NPD

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275608358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 GOLF RD",
            "address_2": "SUITE 302",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161667",
            "telephone_number": "847-296-8151",
            "fax_number": "847-296-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 GOLF RD",
            "address_2": "SUITE 302",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161667",
            "telephone_number": "847-296-8151",
            "fax_number": "847-296-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE RIDGE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCROY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "773-767-3822"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvina Marshal Macwan
• Jini Xavier Madathil, NP
• Jason H Madia, PHARMD
• Maggie Dix Therapy, PLLC
• Mani Mahdavian, MD
• Maine West School Based Health Center
• Mak Global Care LLC
• Mansour Vincent Makhlouf, MD
• Veronica Makos
• Elizabeth Makowski, LCSW

• Specialist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Specialist in Illinois

• 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.