NPIMap

Organization Active NPI

Earnest Webb, PC

  • Community/Behavioral Health Agency
  • Homewood, IL
National Provider Identifier
1669602744
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EARNEST WEBB, PC
Practice address
849 Maple Ave
Suite 903
Homewood, IL 60430-2066
Phone
(708) 799-5862
Fax
(708) 799-0138
NPI assigned
Jul 22, 2009
Last updated
Dec 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Dr. Earnest Webb, PH.D.NPI 1346370418
Title
President
Phone
(708) 799-5862

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

849 Maple Ave
Suite 903
Homewood, IL 60430-2066

Mailing address

19516 Northwinds Dr
Lynwood, IL 60411-8660
Phone (708) 251-5118

Other names 1

  • Dr. Earnest Webb, PC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120103000041 IL Part B Supplier - Clinic/Group Practice 6002082641 Receives reassigned benefits from 1 practitioner
Practice locations: Lynwood, IL

National Provider Directory

National Provider Directory

Locations

849 Maple Ave
Ste 903
Homewood, IL 60430
Phone (708) 799-5862

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1669602744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19516 NORTHWINDS DR",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604118660",
            "telephone_number": "708-251-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 MAPLE AVE",
            "address_2": "SUITE 903",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302066",
            "telephone_number": "708-799-5862",
            "fax_number": "708-799-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARNEST WEBB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "EARNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-799-5862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Earnest Webb, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.