Acosta and Cabrera Medical Associates, S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036135636 Issued in IL

Legal business name

ACOSTA AND CABRERA MEDICAL ASSOCIATES, S.C.

Practice address

3100 Oak Park Ave Ste 1S
Berwyn, IL 60402-4177

Phone

(708) 317-4422

Fax

(708) 317-4428

NPI assigned

Jun 1, 2017

Last updated

Jul 21, 2022By 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

Dr. Yanet Acosta, MD

Title

President

Phone

(630) 240-8808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760910962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S. OAK PARK AVE",
            "address_2": "STE 1 SOUTH",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "708-317-4422",
            "fax_number": "708-317-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK PARK AVE STE 1S",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604024177",
            "telephone_number": "708-317-4422",
            "fax_number": "708-317-4428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 N 74th Ave",
            "address_purpose": "LOCATION",
            "city": "Elmwood Park",
            "state": "IL",
            "postal_code": "607073725",
            "country_code": "US",
            "telephone_number": "630-240-8808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACOSTA AND CABRERA MEDICAL ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "YANET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-240-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036135636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.