NPIMap

Organization Active NPI

Medical Health Service

  • Counselor
  • Crete, IL
National Provider Identifier
1700297488
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MEDICAL HEALTH SERVICE
Practice address
3514 Eagle Nest Dr Ste 200
Crete, IL 60417-1291
Phone
(708) 441-5593
Fax
(708) 367-1458
NPI assigned
May 15, 2014
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Keith Gill
Title
Ceo
Phone
(708) 441-5593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

3514 Eagle Nest Dr Ste 200
Crete, IL 60417-1291

Mailing address

3514 Eagle Nest Dr Ste 200
Crete, IL 60417-1291
Phone (708) 441-5593

National Provider Directory

National Provider Directory

Locations

3514 Eagle Nest Dr
Ste 200
Crete, IL 60417
Phone (708) 441-5593

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1700297488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 EAGLE NEST DR STE 200",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604171291",
            "telephone_number": "708-441-5593",
            "fax_number": "708-367-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 EAGLE NEST DR STE 200",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604171291",
            "telephone_number": "708-441-5593",
            "fax_number": "708-367-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-441-5593"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crete, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.