Organization Active NPI

Midwest Hand Surgery SC

  • Multi-Specialty Clinic/Center
  • Elmhurst, IL
National Provider Identifier
1619283264
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
036097986 Issued in IL
Legal business name
MIDWEST HAND SURGERY SC
Practice address
1200 S York Rd
Suite 3200
Elmhurst, IL 60126-5626
Phone
(630) 359-6888
Fax
(630) 359-6889
NPI assigned
Aug 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Dr. Nabil A Barakat, M.DNPI 1619993268
Title
Owner
Phone
(630) 379-5057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 036097986 IL Primary
Multi-Specialty Clinic/Center 261QM1300X 036087251 IL
Multi-Specialty Clinic/Center 261QM1300X 036120477 IL

Addresses

Primary practice location

1200 S York Rd
Suite 3200
Elmhurst, IL 60126-5626

Mailing address

1200 South York Road
Suite 3200
Elmhurst, IL 60126
Phone (630) 359-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110203001098 IL Part B Supplier - Clinic/Group Practice 5597945857 Receives reassigned benefits from 3 practitioners
Practice locations: Bolingbrook, IL; Elmhurst, IL; Palos Heights, IL

National Provider Directory

National Provider Directory
Tax ID family
Midwest Hand Surgery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

62025 Collections Ctr D
Chicago, IL 60693

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1619283264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SOUTH YORK ROAD",
            "address_2": "SUITE 3200",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-359-6888",
            "fax_number": "630-359-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD",
            "address_2": "SUITE 3200",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265626",
            "telephone_number": "630-359-6888",
            "fax_number": "630-359-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HAND SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "BARAKAT",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-379-5057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "036097986",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "036087251",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "036120477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.