Organization Active NPI

Prompt Care Physicians

  • Internal Medicine Physician
  • Palos Heights, IL
National Provider Identifier
1902070576
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PROMPT CARE PHYSICIANS
Practice address
12307 S Harlem Ave
Palos Heights, IL 60463-1465
Phone
(708) 448-2666
Fax
(708) 448-5818
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Mohamed Marwan Nahhas, M.D.NPI 1538119490
Title
President
Phone
(708) 448-2666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12307 S Harlem Ave
Palos Heights, IL 60463-1465

Mailing address

12307 S Harlem Ave
Palos Heights, IL 60463-1465
Phone (708) 448-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091201000071 IL Part B Supplier - Clinic/Group Practice 2668511817 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Lawn, IL; Orland Park, IL; Evergreen Park, IL; Palos Heights, IL; Palos Hills, IL; Palos Park, IL; Burbank, IL; Chicago, IL…

National Provider Directory

National Provider Directory

Locations

10602 Southwest Hwy
Chicago Ridge, IL 60415
Phone (708) 448-1540

12307 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-2666

12307 S Harlem Ave
Ste 1
Palos Heights, IL 60463
Phone (708) 448-2666

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1902070576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12307 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631465",
            "telephone_number": "708-448-2666",
            "fax_number": "708-448-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12307 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631465",
            "telephone_number": "708-448-2666",
            "fax_number": "708-448-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMPT CARE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "NAHHAS",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "MARWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-448-2666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.