Physician on Wheels

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036102126 Issued in IL

Legal business name

PHYSICIAN ON WHEELS

Practice address

501 Lincoln Ave
Downers Grove, IL 60515-3045

Phone

(773) 807-0555

NPI assigned

Dec 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Acquaye-Awah, MD

Title

Secretary

Phone

(773) 807-0555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1497024616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7151",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601547151",
            "telephone_number": "773-807-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LINCOLN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153045",
            "telephone_number": "773-807-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "ACQUAYE-AWAH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "773-807-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036102126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa N Pezzulo, LCSW
• Carrie Phillips
• Jennifer Phillips, RSA
• Valerie Phillips, MD
• Sophia Phoenix
• Physicians Revenue Group
• Natalia Maria Pierwola, M.S. CF-SLP
• Sandra Lynn Pietrzak, RDH
• Kyle Pigney
• Jessica Pilar

• Internal Medicine Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.