Post Acute Care Specialists SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036110790 Issued in IL

Legal business name

POST ACUTE CARE SPECIALISTS SC

Practice address

8790 W 103Rd St
Palos Hills, IL 60465-1603

Phone

(708) 200-6615

Fax

(708) 598-3304

NPI assigned

Sep 13, 2013

Last updated

Sep 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

Hanan Yousif

Title

President

Phone

(708) 200-6615

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1750716312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 W 103RD ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651603",
            "telephone_number": "708-200-6615",
            "fax_number": "708-598-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 W 103RD ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651603",
            "telephone_number": "708-200-6615",
            "fax_number": "708-598-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST ACUTE CARE SPECIALISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "YOUSIF",
        "authorized_official_first_name": "HANAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-200-6615"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036110790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110790",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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