Active NPI
Midwest Commercial Medical LLC
- Anesthesiology Physician
- Melrose Park, IL
National Provider Identifier
1467478123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MIDWEST COMMERCIAL MEDICAL LLC
- Practice address
- 701 West North Avenue
Melrose Park, IL 60160-1612 - Phone
- (708) 681-3202
- NPI assigned
- Jul 14, 2006
- 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
- Howard S Konowitz, MD
- Title
- Managing Partner
- Phone
- (847) 921-9733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
701 West North Avenue
Melrose Park, IL 60160-1612
Mailing address
1121 Lake Cook Road
Suite M
Deerfield, IL 60015-5234
Phone (847) 945-4550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1632732 | Other | IL | BCBSIL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467478123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 LAKE COOK ROAD",
"address_2": "SUITE M",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600155234",
"telephone_number": "847-945-4550",
"fax_number": "847-948-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 WEST NORTH AVENUE",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601612",
"telephone_number": "708-681-3202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST COMMERCIAL MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KONOWITZ",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "847-921-9733",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL",
"identifier": "1632732",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melrose Park, IL
- Deja Merritte, BA
- Joseph E. Merryweather, PA-C
- Natalie Metsch, MA
- Midwest Assoc for Commercial & Industrial Development (MACID Inc)
- Midwest Clinical Imaging, P.C.
- Midwest Express Care 2, Inc (Midwest Express Clinic)
- Midwest Medical Associates LLC
- Midwest Medical Clinic LTD
- Midwest Nephrology & Internal Medicine Associates, Corp.
- Midwest Open MRI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.