Organization Active NPI

West Adams Health Services Inc.

  • Internal Medicine Physician
  • Matteson, IL
National Provider Identifier
1356707640
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WEST ADAMS HEALTH SERVICES INC.
Practice address
600 Holiday Plaza Dr
Matteson, IL 60443-2241
Phone
(708) 898-2613
NPI assigned
Jan 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Dr. Robyn Jackson, M.D.
Title
M.D.
Phone
(708) 382-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

600 Holiday Plaza Dr
Matteson, IL 60443-2241

Mailing address

600 Holiday Plaza Dr
Matteson, IL 60443-2241
Phone (708) 898-2613

National Provider Directory

National Provider Directory

Locations

10555 S Ewing Ave
Chicago, IL 60617
Phone (708) 382-1030

600 Holiday Dr
Ste 525
Matteson, IL 60443
Phone (708) 612-5100

600 Holiday Plaza Dr
Matteson, IL 60443
Phone (708) 926-1571

NPI Registry JSON

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1356707640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOLIDAY PLAZA DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432241",
            "telephone_number": "708-898-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOLIDAY PLAZA DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432241",
            "telephone_number": "708-898-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ADAMS HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "708-382-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.