Midwest Geriatric Associates Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036-104408 Issued in IL

Legal business name

MIDWEST GERIATRIC ASSOCIATES INC

Practice address

1 Trans Am Plaza Drive
Suite 16
Oakbrook Terrace, IL 60181-4663

Phone

(630) 440-7786

Fax

(630) 242-8450

NPI assigned

May 13, 2016

Last updated

May 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Moqueet A Syed

Title

Manager

Phone

(630) 440-7786

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1952757460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRANS AM PLAZA DRIVE",
            "address_2": "SUITE 16",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814663",
            "telephone_number": "630-440-7786",
            "fax_number": "630-242-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRANS AM PLAZA DRIVE",
            "address_2": "SUITE 16",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814663",
            "telephone_number": "630-440-7786",
            "fax_number": "630-242-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST GERIATRIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MOQUEET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-440-7786",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036-104408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207RG0300X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.