1920 Medical Center

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

1920 MEDICAL CENTER

Practice address

1000 Jorie Blvd
Suite 370
Oak Brook, IL 60523-2214

Phone

(330) 305-2813

NPI assigned

Aug 30, 2016

Last updated

Dec 7, 2016By 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

Ms. Marla Guice

Title

Marla

Phone

(331) 305-2813

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1881140804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 COUNTRY PLACE PKWY",
            "address_2": "SUITE 342",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD",
            "address_2": "SUITE 370",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232214",
            "telephone_number": "330-305-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1920 MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "GUICE",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "MARLA",
        "authorized_official_telephone_number": "331-305-2813",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Abba Care Providers, Inc

• Pain Medicine Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.