Medical Arts Family Physicians, SC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

036096722 Issued in IL

Legal business name

MEDICAL ARTS FAMILY PHYSICIANS, SC

Practice address

135 N Greenleaf St
Suite 100
Gurnee, IL 60031-3393

Phone

(847) 244-7223

Fax

(847) 244-7247

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Danny K Vu, MD

Title

President of Corporation

Phone

(847) 244-7223

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72775

Practitioners 1

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

• Mohammad Habib Bawani, MD

  • Gastroenterology Physician
  • Libertyville, IL
  • NPI 1407858152
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1902913403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NORTH GREENLEAF",
            "address_2": "SUITE 100",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313334",
            "telephone_number": "847-244-7223",
            "fax_number": "847-244-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N GREENLEAF ST",
            "address_2": "SUITE 100",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313393",
            "telephone_number": "847-244-7223",
            "fax_number": "847-244-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS FAMILY PHYSICIANS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "847-244-7223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036096722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desmond B McDonagh, MD
• Timothy J McDonough, MD
• Erica McIlveen
• Taylor Patricia McIntosh
• Medcare Pharmacy Inc
• Medical Eye Services, LTD
• Alicia Sabina Medina, OTR/L
• Megan N Gray DDS LTD
• Yashbir Mehta, MD
• Alta E. Mekaelian, D.D.S.

• Legal Medicine in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Legal Medicine in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.