Adult Medical Care, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-103718 Issued in IL

Legal business name

ADULT MEDICAL CARE, LTD

Practice address

10522 S Cicero Ave
Suite 401
Oak Lawn, IL 60453-5200

Phone

(708) 499-5599

Fax

(708) 499-0024

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hesham A. Wazwaz, M.D.

Title

President

Phone

(708) 499-5599

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1316000714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE",
            "address_2": "SUITE 401",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535200",
            "telephone_number": "708-499-5599",
            "fax_number": "708-499-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE",
            "address_2": "SUITE 401",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535200",
            "telephone_number": "708-499-5599",
            "fax_number": "708-499-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT MEDICAL CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "WAZWAZ",
        "authorized_official_first_name": "HESHAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-499-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-103718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-103718 1",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. WAZWAZ'S PERSONAL NPI",
            "identifier": "1912981242",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.