Maves Medical LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MAVES MEDICAL LTD

Practice address

11316 W Wadsworth Rd
Beach Park, IL 60099-3367

Phone

(847) 731-9663

Fax

(847) 731-9664

NPI assigned

Jul 14, 2015

Last updated

Jul 14, 2015By 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

Dr. Harry Keith Monroe, M.D.

Title

Chief Medical Officer

Phone

(847) 731-9663

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1285018846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11316 W WADSWORTH RD",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600993367",
            "telephone_number": "847-731-9663",
            "fax_number": "847-731-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11316 W WADSWORTH RD",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600993367",
            "telephone_number": "847-731-9663",
            "fax_number": "847-731-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVES MEDICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "847-731-9663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "123163400",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087825",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Lindtner
• Fowzia Kazi Lodi, PHARMD,RPH
• David Londo
• Danica Jenice Coranez Malo, LPC
• Jesse-Jay Manansala, PMHNP-BC
• Lauren H Moller
• Allison Sheridan Myers, M.A., CCC-SLP
• Stephen Dennis Northrop, D.D.S., M.D.
• John T Patenaude, DC
• Lanea Patton

• Surgery Physician in Beach Park, IL
• Providers in Beach Park, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.