Organization Active NPI

Southwest Medical Specialists, SC

  • Specialist
  • Oak Lawn, IL
National Provider Identifier
1811027808
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042006686 Issued in IL
Legal business name
SOUTHWEST MEDICAL SPECIALISTS, SC
Practice address
6311 W 95TH Street
Oak Lawn, IL 60453-2201
Phone
(708) 423-2258
Fax
(708) 423-2305
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Mrs. Karyn Melichar
Title
Billing Manager
Phone
(708) 423-2258

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 042006686 IL Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X IL

Addresses

Primary practice location

6311 W 95TH Street
Oak Lawn, IL 60453-2201

Mailing address

6311 W 95TH Street
Oak Lawn, IL 60453-2201
Phone (708) 423-2258

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1811027808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 W 95TH STREET",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532201",
            "telephone_number": "708-423-2258",
            "fax_number": "708-423-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 W 95TH STREET",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532201",
            "telephone_number": "708-423-2258",
            "fax_number": "708-423-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEDICAL SPECIALISTS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "MELICHAR",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "708-423-2258",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "042006686",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.