Active NPI
Midwest Diabetes & Endocrine Specialty LLC
- Endocrinology, Diabetes & Metabolism Physician
- Oak Brook, IL
National Provider Identifier
1306341136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 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 DirectoryLocations
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.