Total Care Medical Clinic

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

036091578 Issued in IL

Legal business name

TOTAL CARE MEDICAL CLINIC

Practice address

6929 Ogden Ave
Berwyn, IL 60402-3649

Phone

(708) 484-9472

Fax

(708) 484-9473

NPI assigned

Jan 28, 2008

Last updated

Apr 13, 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

Dr. Leonard M Spishakoff, MD

Title

Physician

Phone

(708) 484-9506

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• total care medical group Former legal business name

Locations

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1548447956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 OGDEN AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023649",
            "telephone_number": "708-484-9472",
            "fax_number": "708-484-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 OGDEN AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023649",
            "telephone_number": "708-484-9472",
            "fax_number": "708-484-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "SPISHAKOFF",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-484-9506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IL",
            "license": "036091578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091578",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "total care medical group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Yoselin Toledo, DMD
• Philip Jean Tomas, B.A.
• Joseph Torre, M.D.
• Cynthia Torres, RBT-18-69250
• Mary Tosiou, M.D.
• Samer Totonchi, D.O.
• Trakst, P.C.
• Jacky Tran
• Fernando Andres Traslavina, MD
• Daniel K Treadwell

• Addiction Medicine (Family Medicine) Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Addiction Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.