NPIMap

Organization Active NPI

Physicians Edge Pho

  • General Practice Physician
  • Westmont, IL
National Provider Identifier
1831356690
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PHYSICIANS EDGE PHO
Doing business as
Physicians Edge PHO
Practice address
750 Pasquinelli Dr
Suite 204
Westmont, IL 60559-5567
Phone
(708) 783-7153
NPI assigned
May 20, 2008
Organization subpart
Yes
Parent organization
MACNEAL HEALTH PROVIDERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mr. Kim A Armstrong
Title
Director
Phone
(708) 783-7153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

750 Pasquinelli Dr
Suite 204
Westmont, IL 60559-5567

Mailing address

750 Pasquinelli Dr
Suite 204
Westmont, IL 60559-5567
Phone (708) 783-7153

Other names 1

  • Physicians Edge PHO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Macneal Health Providers Inc4 organizations share this tax ID, including this one
Part of
Macneal Health Providers Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1831356690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 PASQUINELLI DR",
            "address_2": "SUITE 204",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595567",
            "telephone_number": "708-783-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 PASQUINELLI DR",
            "address_2": "SUITE 204",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595567",
            "telephone_number": "708-783-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS EDGE PHO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACNEAL HEALTH PROVIDERS, INC.",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-783-7153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Edge PHO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.