Organization Active NPI

Midwest Diabetes & Endocrine Specialty LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Oak Brook, IL
National Provider Identifier
1306341136
Registry record updated Mar 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MIDWEST DIABETES & ENDOCRINE SPECIALTY LLC
Practice address
1919 Midwest Rd Ste 102
Oak Brook, IL 60523-1317
Phone
(614) 678-2969
NPI assigned
Mar 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2018

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

Authorized official

Name
Arshi Basit, MD
Title
President
Phone
(614) 678-2969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

1919 Midwest Rd Ste 102
Oak Brook, IL 60523-1317

Mailing address

PO Box 6899
Villa Park, IL 60181-6899
Phone (614) 678-2969

National Provider Directory

National Provider Directory

Locations

1919 Midwest Rd
Ste 102
Oak Brook, IL 60523
Phone (614) 678-2969

NPI Registry JSON

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

{
    "created_epoch": "1521936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521936000000",
    "number": "1306341136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6899",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601816899",
            "telephone_number": "614-678-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MIDWEST RD STE 102",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231317",
            "telephone_number": "614-678-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DIABETES & ENDOCRINE SPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-25",
        "last_updated": "2018-03-25",
        "status": "A",
        "authorized_official_last_name": "BASIT",
        "authorized_official_first_name": "ARSHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-678-2969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2018; 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.