Clinical Associates of Palos Heights SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.078350 Issued in IL

Legal business name

CLINICAL ASSOCIATES OF PALOS HEIGHTS SC

Practice address

11824 Southwest Hwy
Suite 110
Palos Heights, IL 60463-1055

Phone

(708) 361-8449

Fax

(708) 361-8469

NPI assigned

Feb 17, 2017

Organization subpart

No

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

Authorized official

Name

Thomas Lee Waidzunas, MD

Title

Owner

Phone

(708) 361-8449

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arvind Patel, M.D.

  • Surgery Physician
  • Des Plaines, IL
  • NPI 1386662658
  NPD (past)

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1891234290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11824 SOUTHWEST HWY",
            "address_2": "SUITE 110",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631055",
            "telephone_number": "708-361-8449",
            "fax_number": "708-361-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11824 SOUTHWEST HWY",
            "address_2": "SUITE 110",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631055",
            "telephone_number": "708-361-8449",
            "fax_number": "708-361-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL ASSOCIATES OF PALOS HEIGHTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "WAIDZUNAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-361-8449",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.078350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gia Grace Cipriani, RPH
• Clarity and Balance Counseling LLC
• Shannon Clark, B.S
• Robert Collier Clay Jr., DDS
• Ann Marie Cleary, PA-C
• Tameika Cobb
• Emily Coello, PA-C
• James A Coglianese, DDS MS
• Fawn Cohen, M.D.
• Collective Valor

• Family Medicine Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.