Frontiers Medical Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FRONTIERS MEDICAL CENTER INC

Practice address

11164 Southwest Hwy
Palos Hills, IL 60465-2709

Phone

(708) 907-3422

Fax

(708) 249-6775

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Ameira Matariyeh, MANAGEMENT

Title

Practice Manager

Phone

(708) 907-3422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1750125837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11164 SOUTHWEST HWY",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652709",
            "telephone_number": "708-907-3422",
            "fax_number": "708-249-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11164 SOUTHWEST HWY",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652709",
            "telephone_number": "708-907-3422",
            "fax_number": "708-249-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIERS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "MATARIYEH",
        "authorized_official_first_name": "AMEIRA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "708-907-3422",
        "authorized_official_credential": "MANAGEMENT"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean P Flowers, AU.D.
• Nahlah Floyd, AU.D.
• Elliott McKinley Fourte, M.D.
• Victoria Chase Frank, AUD
• Elizabeth Carol Frantz, LCPC
• Kelly Furmanek, DIPL. OM
• Kelly Gaffney
• Gail D. Miller MDSC
• Benito, Jr. Garcia, LCPC
• Gary Stephen Garofalo, DDS

• Internal Medicine Physician in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.