5 Pillars S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036127587 Issued in IL

Legal business name

5 PILLARS S.C.

Practice address

404 W Irving Park Rd
Wood Dale, IL 60191-1343

Phone

(773) 544-5306

NPI assigned

Jul 21, 2016

Last updated

Jul 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naaz Aziz, MD

Title

Owner

Phone

(773) 544-5306

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1619320983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 N MULLIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303025",
            "telephone_number": "773-544-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W IRVING PARK RD",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911343",
            "telephone_number": "773-544-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 PILLARS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "NAAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-544-5306",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036127587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036127587",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Wood Dale, IL
• Providers in Wood Dale, 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 21, 2016; 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.