NPIMap

Organization Active NPI

Anderson Medical Centers

  • Family Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1710042213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36060803 Issued in IL
Legal business name
ANDERSON MEDICAL CENTERS
Practice address
1430 E Thacker St
Des Plaines, IL 60016-6460
Phone
(847) 223-9494
Fax
(847) 205-9722
NPI assigned
Dec 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mayer Zayan, MD
Title
Medical Director
Phone
(847) 223-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36060803 IL Primary

Addresses

Primary practice location

1430 E Thacker St
Des Plaines, IL 60016-6460

Mailing address

609 Academy Dr
Northbrook, IL 60062-2420
Phone (847) 223-9494

National Provider Directory

National Provider Directory
Tax ID family
Anderson Medical Centers5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1430 E Thacker St
Des Plaines, IL 60016
Phone (847) 803-6669

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710042213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 ACADEMY DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622420",
            "telephone_number": "847-223-9494",
            "fax_number": "847-205-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E THACKER ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166460",
            "telephone_number": "847-223-9494",
            "fax_number": "847-205-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAYAN",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-223-9494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36060803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.