Liberty Medical Center Coal City SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-125457 Issued in IL

Legal business name

LIBERTY MEDICAL CENTER COAL CITY SC

Practice address

4 E North St
Coal City, IL 60416-1087

Phone

(815) 634-4099

Fax

(815) 634-4077

NPI assigned

Jun 2, 2011

Last updated

Jun 2, 2011By 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

Hassnain S Syed, M.D.,

Title

Director

Phone

(815) 634-4099

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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.

• Gary L Williams, D.P.M.

  • Foot Surgery Podiatrist
  • Chicago, IL
  • NPI 1396711073
  NPD (past)

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1487948964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E NORTH ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161087",
            "telephone_number": "815-634-4099",
            "fax_number": "815-634-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E NORTH ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161087",
            "telephone_number": "815-634-4099",
            "fax_number": "815-634-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MEDICAL CENTER COAL CITY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "HASSNAIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-634-4099",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-125457",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-118250",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "03-6127143",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-087831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burgundy L Lander, DC
• Erin S Lane, DPT
• Hazel J Langcauon, M.D.
• Lardi Chiropractic LTD
• Kelly Lardi, D.C.
• Lighthouse Counseling, P.C.
• Alexander J Linko, DPT
• Haley M Lockhart, LAT, ATC, MS
• Margaret Marsaglia
• Kassandra Lynn Marsala

• Family Medicine Physician in Coal City, IL
• Providers in Coal City, 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 Jun 2, 2011; 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.