Organization Active NPI

S & T Medical Group LTD

  • Clinical Medical Laboratory
  • Hoffman Estates, IL
National Provider Identifier
1598286510
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
S & T MEDICAL GROUP LTD
Practice address
136 W Higgins Rd
Hoffman Estates, IL 60169-4914
Phone
(773) 563-6400
Fax
(630) 454-3444
NPI assigned
Jun 29, 2017
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Charles Levy
Title
Managing Director
Phone
(773) 563-6400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

136 W Higgins Rd
Hoffman Estates, IL 60169-4914

Mailing address

136 W Higgins Rd
Hoffman Estates, IL 60169-4914
Phone (773) 563-6400

Other identifiers 1

IdentifierTypeStateIssuer
036045378MedicaidIL

Other names 1

  • S&T Medical Group LTD Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1598286510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W HIGGINS RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601694914",
            "telephone_number": "773-563-6400",
            "fax_number": "630-454-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W HIGGINS RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601694914",
            "telephone_number": "773-563-6400",
            "fax_number": "630-454-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & T MEDICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "773-563-6400"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036045378",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "OFFICE ALLY",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "136 W Higgins Rd",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601694914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "S&T Medical Group LTD",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "S&T Medical Group LTD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.