Michael Reese Physician Group

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MICHAEL REESE PHYSICIAN GROUP

Practice address

500 Technology Dr
Naperville, IL 60563-6302

Phone

(630) 428-5402

NPI assigned

Mar 12, 2007

Last updated

Aug 22, 2020By 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

Mr. Thomas D Cardwell

Title

Exec Director

Phone

(630) 428-5402

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306978655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TECHNOLOGY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636302",
            "telephone_number": "630-428-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TECHNOLOGY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636302",
            "telephone_number": "630-428-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL REESE PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARDWELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "630-428-5402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christine Michaels, DDS MDS
• Daniel Michaels, LPC
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• Health Maintenance Organization in Naperville, IL
• Providers in Naperville, IL by specialty
• Health Maintenance Organization 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.