Medical Surgical Group

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

036-075843 Issued in IL

Legal business name

MEDICAL SURGICAL GROUP

Practice address

7456 S State Rd
Suite 104
Bedford Park, IL 60638-6623

Phone

(773) 382-0380

NPI assigned

Oct 13, 2013

Last updated

Oct 13, 2013By 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

Dr. Luis R. Munoz, M.D.

Title

Medical Director

Phone

77338100380

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381622400000",
    "number": "1689001414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 S STATE RD",
            "address_2": "SUITE 104",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386623",
            "telephone_number": "773-382-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 S STATE RD",
            "address_2": "SUITE 104",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386623",
            "telephone_number": "773-382-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-13",
        "last_updated": "2013-10-13",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "77338100380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "IL",
            "license": "036-075843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Care Clinic/Center in Bedford Park, IL
• Providers in Bedford Park, IL by specialty
• Emergency Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2013; 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.