Mediconnect Inc.

Primary specialty

TaxiTaxonomy code 344600000X

License

17067PT Issued in IL

Legal business name

MEDICONNECT INC.

Practice address

337 S Maple Ave
Suite 23
Oak Park, IL 60302-3473

Phone

(708) 648-0800

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Eddie Miner

Title

Manager

Phone

(708) 648-0800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1376093385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 S MAPLE AVE",
            "address_2": "SUITE 23",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023473",
            "telephone_number": "708-648-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 S MAPLE AVE",
            "address_2": "SUITE 23",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023473",
            "telephone_number": "708-648-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICONNECT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-648-0800"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "IL",
            "license": "17067PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taxi in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Taxi in Illinois

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