West Grand Ave. Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WEST GRAND AVE. ASSOCIATES

Practice address

1855 W Grand Ave
Chicago, IL 60622-6231

Phone

(312) 455-2805

Fax

(312) 455-2802

NPI assigned

May 2, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Doris M La Salvia

Title

Proprietor

Phone

(312) 455-2805

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241222400000",
    "number": "1598999732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226231",
            "telephone_number": "312-455-2805",
            "fax_number": "312-455-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226231",
            "telephone_number": "312-455-2805",
            "fax_number": "312-455-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GRAND AVE. ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-02",
        "last_updated": "2009-05-02",
        "status": "A",
        "authorized_official_last_name": "LA SALVIA",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "312-455-2805",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2009; 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.