Midwest Adult Care LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036099839 Issued in IL

Legal business name

MIDWEST ADULT CARE LLC

Practice address

800 Biesterfield Rd
Brock Building ,Suite 3007
Elk Grove Village, IL 60007-3371

Phone

(847) 290-6513

Fax

(847) 290-8505

NPI assigned

May 24, 2010

Last updated

May 20, 2015By 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

Monika Rolek, MD

Title

MD

Phone

(847) 290-6513

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1871812388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604770967",
            "telephone_number": "708-532-6029",
            "fax_number": "708-532-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "BROCK BUILDING ,SUITE 3007",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073371",
            "telephone_number": "847-290-6513",
            "fax_number": "847-290-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ADULT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "ROLEK",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "847-290-6513",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036099839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.