Organization Active NPI

Southwest Physicians Group-HMO Site

  • Health Maintenance Organization
  • Oak Lawn, IL
National Provider Identifier
1588829410
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
SOUTHWEST PHYSICIANS GROUP-HMO SITE
Practice address
4861 W 95TH St
Oak Lawn, IL 60453-2521
Phone
(708) 425-4488
NPI assigned
Jul 21, 2008
Last updated
Jul 21, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST PHYSICIANS GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Vicki Gaw
Title
Office Manager
Phone
(708) 425-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

4861 W 95TH St
Oak Lawn, IL 60453-2521

Mailing address

4861 W 95TH St
Oak Lawn, IL 60453-2521
Phone (708) 425-4488

National Provider Directory

National Provider Directory
Part of
Southwest Physicians Group-HMO Site

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1588829410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532521",
            "telephone_number": "708-425-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532521",
            "telephone_number": "708-425-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PHYSICIANS GROUP-HMO SITE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST PHYSICIANS GROUP",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "GAW",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-425-4488"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.