Pitlosh Wound Specialists Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036107071 Issued in IL

Legal business name

PITLOSH WOUND SPECIALISTS INC

Practice address

5855 N Sheridan Rd
Apt 13 B
Chicago, IL 60660-3818

Phone

(773) 484-0472

NPI assigned

Jul 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Max John Pitlosh, MD

Title

President

Phone

(773) 484-0472

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1578851549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 N SHERIDAN RD",
            "address_2": "APT 13 B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603818",
            "telephone_number": "773-484-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 N SHERIDAN RD",
            "address_2": "APT 13 B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603818",
            "telephone_number": "773-484-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITLOSH WOUND SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "PITLOSH",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-484-0472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036107071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lachone Pitchford, MA/CCC-SLP
• Jordin J Pitel, PA-C
• Lisa Ann Pitelka, M.D.
• Sophia Rose Pitillo
• Chada Pitiranggon, MD
• Max John Pitlosh, M.D.
• Sean Pravin Pitroda, M.D.
• Kenneth S Pittleman, M.D.
• Christian Raivon Pittman, LCSW
• Donna M Pittman, PH.D.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, 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 12, 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.