Medwiz of Illinois LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MEDWIZ OF ILLINOIS LLC

Practice address

940 S Frontage Rd Ste 400
Woodridge, IL 60517-4953

Phone

(630) 866-6400

Fax

(630) 866-6410

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Aron Ungar

Title

Managing Member

Phone

(845) 825-9089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oliver Stanescu, PHARM.D.

  • Pharmacist
  • Woodridge, IL
  • NPI 1730754466
  NPD
• Joana Marie Ong Ting

  • Pharmacist
  • Woodridge, IL
  • NPI 1750052932
  NPD

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1760088223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 ROUTE 304 STE 101",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109542050",
            "telephone_number": "845-624-8080",
            "fax_number": "845-624-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S FRONTAGE RD STE 400",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174953",
            "telephone_number": "630-866-6400",
            "fax_number": "630-866-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWIZ OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-11-04",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "UNGAR",
        "authorized_official_first_name": "ARON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "845-825-9089"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather P Mattila, MS CCC-SLP
• Jennifer Mazzeffi
• MB Behavioral Health
• MBMJ Inc (Pearle Vision Center)
• Michael John McCarthy, DPT
• Medwiz Specialty Pharmacy, LLC
• Medwiz Specialty Pharmacy, LLC
• Jonathan David Meek, M.D.
• Ana Paula Mejia-Ramos, OTD, OTR/L
• Amanda Lauren Mendez, BCBA

• Long Term Care Pharmacy in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.