Active NPI
Midwest Medical Home Inc
- Family Medicine Physician
- Lombard, IL
National Provider Identifier
1396056503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MIDWEST MEDICAL HOME INC
- Practice address
- 18W511 Roosevelt Rd
Lombard, IL 60148-4184 - Phone
- (630) 953-4500
- Fax
- (630) 953-4502
- NPI assigned
- Jun 23, 2010
- Last updated
- Jun 23, 2010
- 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
- Dr. Ruksana S Nazneen, M.D.
- Title
- President
- Phone
- (630) 953-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
18W511 Roosevelt Rd
Lombard, IL 60148-4184
Mailing address
18W511 Roosevelt Rd
Lombard, IL 60148-4184
Phone (630) 953-4500
National Provider Directory
National Provider DirectoryLocations
18W511 Roosevelt Rd
Lombard, IL 60148
Phone (630) 236-0900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Aurora, IL
- NPI 1285717595
-
- Family Medicine Physician
- Morton Grove, IL
- NPI 1568622744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277251200000",
"number": "1396056503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18W511 ROOSEVELT RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484184",
"telephone_number": "630-953-4500",
"fax_number": "630-953-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18W511 ROOSEVELT RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484184",
"telephone_number": "630-953-4500",
"fax_number": "630-953-4502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST MEDICAL HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-23",
"last_updated": "2010-06-23",
"status": "A",
"authorized_official_last_name": "NAZNEEN",
"authorized_official_first_name": "RUKSANA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-953-4500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
- David Michiels, LCPC
- Mid America Home Health Care, Inc.
- Midwest Care Coordinator Inc (midwest imaging service provider)
- Midwest Express Care 2 Inc
- Midwest Medical Care (Shifa)
- Midwest Pulmonary Associates S.C.
- Midwest Wheels of Care LLC
- Midwestern Surgical Services
- Donald Milazzo, LCPC
- Milla Medical Supply LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.