NPIMap

Organization Active NPI

Multispecialty Medical Center LTD

  • Medical Specialty Clinic/Center
  • Hinsdale, IL
National Provider Identifier
1679507628
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
042-618356 Issued in IL
Legal business name
MULTISPECIALTY MEDICAL CENTER LTD
Practice address
333 Chestnut St
Suite 205
Hinsdale, IL 60521-3247
Phone
(630) 323-7096
Fax
(630) 323-7531
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Drew S Kandilakis, D.C.NPI 1316971369
Title
Clinic Director
Phone
(630) 323-7096

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
Medical Specialty Clinic/Center 261QM2500X 042-618356 IL Primary

Addresses

Primary practice location

333 Chestnut St
Suite 205
Hinsdale, IL 60521-3247

Mailing address

40 S Clay St
Suite 246E
Hinsdale, IL 60521-3257
Phone (630) 323-7096

Other identifiers 1

IdentifierTypeStateIssuer
2232680OtherILBLUE CROSS BLUE SHIELD OF ILLINOIS

National Provider Directory

National Provider Directory

Locations

519 N Cass Ave
Fl 4
Westmont, IL 60559
Phone (630) 969-4355

528 N Cass Ave
Ste 200
Westmont, IL 60559
Phone (630) 969-4355

Practitioners & affiliated clinicians

Practitioners 11

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1679507628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S CLAY ST",
            "address_2": "SUITE 246E",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213257",
            "telephone_number": "630-323-7096",
            "fax_number": "630-323-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CHESTNUT ST",
            "address_2": "SUITE 205",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213247",
            "telephone_number": "630-323-7096",
            "fax_number": "630-323-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTISPECIALTY MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "KANDILAKIS",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "630-323-7096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "042-618356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "2232680",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.