Organization Active NPI

Southwest Family Practice LTD

  • Health Maintenance Organization
  • Palos Heights, IL
National Provider Identifier
1629149679
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
SOUTHWEST FAMILY PRACTICE LTD
Practice address
11737 Southwest Hwy Ste B
Palos Heights, IL 60463-1912
Phone
(708) 361-5007
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Surinder Sahajpal, M.D.
Title
Coowner
Phone
(708) 361-5007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X IL Primary

Addresses

Primary practice location

11737 Southwest Hwy Ste B
Palos Heights, IL 60463-1912

Mailing address

4861 W 95TH St
Oak Lawn, IL 60453-2521
Phone (708) 361-5007

National Provider Directory

National Provider Directory

Locations

11737 Southwest Hwy
Ste B
Palos Heights, IL 60463
Phone (708) 361-5007

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1629149679",
    "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": "708-361-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11737 SOUTHWEST HWY STE B",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631912",
            "telephone_number": "708-361-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FAMILY PRACTICE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "SAHAJPAL",
        "authorized_official_first_name": "SURINDER",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "708-361-5007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.