NPIMap

Organization Active NPI

U.S. Healthworks Medical Group of Illinois, PC

  • Urgent Care Clinic/Center
  • Bellwood, IL
National Provider Identifier
1861941163
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
U.S. HEALTHWORKS MEDICAL GROUP OF ILLINOIS, PC
Practice address
2615 Harrison St
Bellwood, IL 60104-2450
Phone
(708) 493-0299
Fax
(708) 493-0594
NPI assigned
Sep 27, 2016
Last updated
Sep 27, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. HEALTHWORKS MEDICAL GROUP OF ILLINOIS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Mr. Joseph T Mallas
Title
President & Chief Executive Officer
Phone
(661) 678-2600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Occupational Medicine Physician 2083X0100X

Addresses

Primary practice location

2615 Harrison St
Bellwood, IL 60104-2450

Mailing address

25124 Springfield CT
Suite 200
Valencia, CA 91355-1085
Phone (661) 678-2600

National Provider Directory

National Provider Directory
Tax ID family
US Healthworks Medical Group of Illinois PC4 organizations share this tax ID, including this one
Part of
US Healthworks Medical Group of Illinois PC

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": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1861941163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25124 SPRINGFIELD CT",
            "address_2": "SUITE 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551085",
            "telephone_number": "661-678-2600",
            "fax_number": "661-678-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 HARRISON ST",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601042450",
            "telephone_number": "708-493-0299",
            "fax_number": "708-493-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. HEALTHWORKS MEDICAL GROUP OF ILLINOIS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. HEALTHWORKS MEDICAL GROUP OF ILLINOIS, PC",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "MALLAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-678-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.