MVC - Niles, S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

042619879 Issued in IL

Legal business name

MVC - NILES, S.C.

Practice address

7177 N Milwaukee Ave
Niles, IL 60714-4424

Phone

(630) 322-9126

Fax

(630) 322-9128

NPI assigned

May 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. James Gordon Wright, M.D.

Title

Ceo Presedent

Phone

(630) 322-9126

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1780944264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD",
            "address_2": "SUITE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151050",
            "telephone_number": "630-322-9126",
            "fax_number": "630-322-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144424",
            "telephone_number": "630-322-9126",
            "fax_number": "630-322-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVC - NILES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "CEO PRESEDENT",
        "authorized_official_telephone_number": "630-322-9126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "042619879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Niles, IL
• Providers in Niles, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.