Melrose Park Clinic LTD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MELROSE PARK CLINIC LTD.

Practice address

1252 Winston Plaza
Melrose Park, IL 60160

Phone

(708) 343-2500

Fax

(708) 343-9545

NPI assigned

Dec 27, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph L Gacchino Jr., MD

Title

Administrator Owner

Phone

(708) 343-2500

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427113679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 WINSTON PLAZA",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-343-2500",
            "fax_number": "708-343-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 WINSTON PLAZA",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-343-2500",
            "fax_number": "708-343-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE PARK CLINIC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GACCHINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "708-343-2500",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1617286",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050366",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "738410",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashima D Mehta, MD
• Lynn D Meisles, MD
• Melrose Dental Center Service P.C
• Melrose Medical Supply Company, LLC
• Melrose Park Clinic
• Melrose Park Eye Care LLC (Pearle Vision Melrose Park)
• Melrose Park Immediate Care
• Melrose Park Rehabilitation, LTD
• Melrose Park Women's Care, S.C.
• Melrose Pharmacy Inc

• Family Medicine Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.