Asklepios Medical Group LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ASKLEPIOS MEDICAL GROUP LTD

Practice address

11638 S Western Ave
Chicago, IL 60643-4730

Phone

(773) 445-2422

Fax

(773) 445-5182

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

Soterios G Polychronopoulos, MD

Title

Owner of Medical Group Practice

Phone

(773) 445-2422

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1790777837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11638 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434730",
            "telephone_number": "773-445-2422",
            "fax_number": "773-445-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11638 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434730",
            "telephone_number": "773-445-2422",
            "fax_number": "773-445-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASKLEPIOS MEDICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "POLYCHRONOPOULOS",
        "authorized_official_first_name": "SOTERIOS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER OF MEDICAL GROUP PRACTICE",
        "authorized_official_telephone_number": "773-445-2422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110019213",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31602250",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051757",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammad Askar, DDS
• Saja Askar
• Zacharia Askar, OD
• Nina Askew
• Lindsey Askins, OTR/L
• Estrella Askren-Gonzalez, MA
• Alishba Aslam
• Amna Aslam
• Aysha Aslam, MD
• Hira Aamna Aslam, MD

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Jul 9, 2010; 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.