Active NPI
Maternal and Child Medical Care, S.C
- Obstetrics & Gynecology Physician
- Addison, IL
National Provider Identifier
1912203209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- MATERNAL AND CHILD MEDICAL CARE, S.C
- Practice address
- 2055 W Army Trail Rd
Suite 104
Addison, IL 60101-1478 - Phone
- (847) 650-1452
- Fax
- (224) 535-7260
- NPI assigned
- Feb 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Orawan Sukavachana, MD
- Title
- President/Ceo
- Phone
- (847) 650-1452
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
2055 W Army Trail Rd
Suite 104
Addison, IL 60101-1478
Mailing address
2055 West Army Trail Road
Suite 104
Addison, IL 60101
Phone (847) 650-1452
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- El Dorado Hills, CA
- NPI 1932368032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296691200000",
"number": "1912203209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 WEST ARMY TRAIL ROAD",
"address_2": "SUITE 104",
"city": "ADDISON",
"state": "IL",
"postal_code": "60101",
"telephone_number": "847-650-1452",
"fax_number": "224-535-7260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 W ARMY TRAIL RD",
"address_2": "SUITE 104",
"city": "ADDISON",
"state": "IL",
"postal_code": "601011478",
"telephone_number": "847-650-1452",
"fax_number": "224-535-7260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATERNAL AND CHILD MEDICAL CARE, S.C",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A",
"authorized_official_last_name": "SUKAVACHANA",
"authorized_official_first_name": "ORAWAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "847-650-1452",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.