Active NPI
My MD SC
- Family Medicine Physician
- Westmont, IL
National Provider Identifier
1386884039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 046619271
- Legal business name
- MY MD SC
- Practice address
- 460 Quail Ridge Dr
Westmont, IL 60559-6145 - Phone
- (630) 887-2900
- NPI assigned
- Feb 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Auriemma, M.D.
- Title
- President
- Phone
- (630) 887-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 046619271 | IL | Primary |
Addresses
Primary practice location
460 Quail Ridge Dr
Westmont, IL 60559-6145
Mailing address
460 Quail Ridge Dr
Westmont, IL 60559-6145
National Provider Directory
National Provider DirectoryLocations
460 Quail Ridge Dr
Westmont, IL 60559
Phone (630) 887-2900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235520000000",
"number": "1386884039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 QUAIL RIDGE DR",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 QUAIL RIDGE DR",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596145",
"telephone_number": "630-887-2900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-25",
"status": "A",
"authorized_official_last_name": "AURIEMMA",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-887-2900",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": "046619271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.