NPIMap

Organization Active NPI

Midwest Ma, LLC

  • Anesthesiology Physician
  • Oak Lawn, IL
National Provider Identifier
1295751956
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MIDWEST MA, LLC
Practice address
4650 Southwest Hwy
Oak Lawn, IL 60453-1836
Phone
(708) 424-3201
NPI assigned
Jul 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Howard S Konowitz, MDNPI 1457379976
Title
Managing Partner
Phone
(847) 921-9733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

4650 Southwest Hwy
Oak Lawn, IL 60453-1836

Mailing address

1121 Lake Cook Road
Suite M
Deerfield, IL 60015-5234
Phone (847) 945-4550

Other identifiers 1

IdentifierTypeStateIssuer
1632977OtherILBCBS IL

National Provider Directory

National Provider Directory

Locations

2097 Momentum Pl
Chicago, IL 60689

5666 Collection Center Dr
Chicago, IL 60693

9000 Waukegan Rd
#3T
Morton Grove, IL 60053
Phone (847) 213-2700

9000 Waukegan Rd
Ste 120
Morton Grove, IL 60053
Phone (847) 213-5444

1300 Higgins Rd
Ste 200
Park Ridge, IL 60068
Phone (773) 321-2612

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295751956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 LAKE COOK ROAD",
            "address_2": "SUITE M",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155234",
            "telephone_number": "847-945-4550",
            "fax_number": "847-948-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531836",
            "telephone_number": "708-424-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KONOWITZ",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "847-921-9733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "1632977",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, 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.