NPIMap

Organization Active NPI

Vitas Healthcare Corporation of Illinois

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Tinley Park, IL
National Provider Identifier
1861268930
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
VITAS HEALTHCARE CORPORATION OF ILLINOIS
Practice address
8525 183Rd St Ste M
Tinley Park, IL 60487-3702
Phone
(708) 781-4400
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
VITAS HEALTHCARE CORPORATION OF ILLINOISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Nicholas Westfall
Title
President & Ceo
Phone
(513) 618-2240

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU

Addresses

Primary practice location

8525 183Rd St Ste M
Tinley Park, IL 60487-3702

Mailing address

255 E 5TH St Ste 1050
Cincinnati, OH 45202-4121
Phone (513) 618-2243

Other names 1

  • Chicagoland South Palliative Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Vitas Healthcare Corporation of Illinois8 organizations share this tax ID, including this one
Part of
Vitas Healthcare Corporation of Illinois

Other organizations with this tax ID 7

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

Locations

8525 183rd St
Ste M
Tinley Park, IL 60487
Phone (708) 781-4000

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1861268930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E 5TH ST STE 1050",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024121",
            "telephone_number": "513-618-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 183RD ST STE M",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604873702",
            "telephone_number": "708-781-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS HEALTHCARE CORPORATION OF ILLINOIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITAS HEALTHCARE CORPORATION OF ILLINOIS",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "513-618-2240"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicagoland South Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.