MD2X S.C.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MD2X S.C.

Practice address

19110 Darvin Dr
Mokena, IL 60448-8595

Phone

(708) 478-8889

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Ethan Feller, M.D.NPI 1871528778

Title

President

Phone

(773) 307-8659

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Ethan Feller, M.D.

  • Anesthesiology Physician
  • Mokena, IL
  • NPI 1871528778
  Authorized official Same address or phone

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1669403325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476705",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19110 DARVIN DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488595",
            "telephone_number": "708-478-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD2X S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "ETHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-307-8659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09932287",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC7004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary McGrath, MD
• Mary McIntyre
• Emily McKenna
• Diane E McKenzie, NP
• Kathleen Claire McLoughlin, MS, CCC-SLP
• MDM Advanced Ancillary Services, LLC (Advanced Ancillary Services)
• Medic 1
• Megan Maiero PLLC
• Meijer Great Lakes Limited Partnership (Meijer Pharmacy #273)
• Mental Edge Counseling LLC

• Anesthesiology Physician in Mokena, IL
• Providers in Mokena, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.