Universal Health, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036101294 Issued in IL

Legal business name

UNIVERSAL HEALTH, LTD

Practice address

1007 W Lawrence Ave
Chicago, IL 60640-5017

Phone

(773) 271-1500

Fax

(773) 271-2048

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Olga Mavashev

Title

Office Manager

Phone

(773) 271-1500

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Feliks S Mavashev, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1215946603
  Medicare reassignment NPD

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1891975512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 COVENTRY LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353748",
            "telephone_number": "773-271-1500",
            "fax_number": "773-271-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405017",
            "telephone_number": "773-271-1500",
            "fax_number": "773-271-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTH, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "MAVASHEV",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-271-1500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036101294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101294",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01626490",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISENCE",
            "identifier": "036101294",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Universal Family Connection, Inc.
• Universal Family Connection, Inc.
• Universal Family Connection, Inc.
• Universal Gastroenterologists, LTD.
• Universal Health Institute, LTD
• Universal Healthcare PC
• Universal Homes LLC
• Universal Homes LLC
• Universal Industries Inc
• Universal Medical & Rehabilitation Center, S.C.

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.