Organization Active NPI

Midwest Palliative & Hospice Carecenter

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Glenview, IL
National Provider Identifier
1356655179
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
2000958 Issued in IL
Legal business name
MIDWEST PALLIATIVE & HOSPICE CARECENTER
Practice address
2050 Claire CT
Glenview, IL 60025-7635
Phone
(847) 467-7423
NPI assigned
Aug 4, 2010
Organization subpart
Yes
Parent organization
MIDWEST PALLIATIVE & HOSPICE CARECENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Mr. David C. Bruce
Title
Chief Financial Officer
Phone
(847) 556-1564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0002X 2000958 IL Primary

Addresses

Primary practice location

2050 Claire CT
Glenview, IL 60025-7635

Mailing address

2050 Claire CT
Glenview, IL 60025-7635
Phone (847) 467-7423

Other names 1

  • Midwest CareCenter Other name

National Provider Directory

National Provider Directory
Part of
Midwest Palliative Hosp Ca

Locations

2059 Claire CT
Glenview, IL 60025

2054 Claire CT
Glenview, IL 60025

2058 Claire CT
Glenview, IL 60025

2051 Claire CT
Glenview, IL 60025

2053 Claire CT
Glenview, IL 60025

2052 Claire CT
Glenview, IL 60025

2055 Claire CT
Glenview, IL 60025

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1356655179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CLAIRE CT",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257635",
            "telephone_number": "847-467-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CLAIRE CT",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257635",
            "telephone_number": "847-467-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PALLIATIVE & HOSPICE CARECENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST PALLIATIVE & HOSPICE CARECENTER",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "847-556-1564",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "2000958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest CareCenter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.