Prairie Medical Physicians Group SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036094038 Issued in IL

Legal business name

PRAIRIE MEDICAL PHYSICIANS GROUP SC

Practice address

10330 S Roberts Rd
Suite 2
Palos Hills, IL 60465-1971

Phone

(708) 430-0008

Fax

(708) 430-2828

NPI assigned

Jul 9, 2006

Last updated

Sep 5, 2024By 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

Paul E McFarlane, M.D.NPI 1992975619

Title

President

Phone

(708) 430-8889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBIIAA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul McFarlane, M.D.

  • Internal Medicine Physician
  • Palos Hills, IL
  • NPI 1992975619
  Medicare reassignment NPD Authorized official
• Amy Kosnar-Parker

  • Family Nurse Practitioner
  • River Forest, IL
  • NPI 1730296450
  Medicare reassignment NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1811920234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 S ROBERTS RD",
            "address_2": "SUITE 2ND",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651971",
            "telephone_number": "708-430-0008",
            "fax_number": "708-430-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 S ROBERTS RD",
            "address_2": "SUITE 2",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651971",
            "telephone_number": "708-430-0008",
            "fax_number": "708-430-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE MEDICAL PHYSICIANS GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "MCFARLANE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-430-8889",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Dawn Pila, ATC
• Mary Pittman, LCSW
• Post Acute Care Specialists SC
• Shatara Powell
• Practical Practitioners, LLC
• Prestige Home Healthcare Inc.
• Prestige Home Healthcare, Inc
• Stephanie Pruefer
• Purple Spring Home Caregivers, Inc.
• Robert David Pyne, D.C.

• Internal Medicine Physician in Palos Hills, IL
• Providers in Palos Hills, 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 Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.