Westside Medical Assocs, LTD.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WESTSIDE MEDICAL ASSOCS, LTD.

Practice address

2340 S Highland Ave
Suite 210
Lombard, IL 60148-5371

Phone

(630) 932-2020

Fax

(630) 932-4688

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard C. Mattis, M.D.

Title

Chief Executive Officer

Phone

(630) 932-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Maryam N. Sandoval, M.D.

  • Internal Medicine Physician
  • Elmhurst, IL
  • NPI 1831140490
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1972641223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE",
            "address_2": "SUITE 210",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485371",
            "telephone_number": "630-932-2020",
            "fax_number": "630-932-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE",
            "address_2": "SUITE 210",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485371",
            "telephone_number": "630-932-2020",
            "fax_number": "630-932-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE MEDICAL ASSOCS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "MATTIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "630-932-2020",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Timothy Charles Weselak, D.C.
• West Suburban Obstetrics & Gynecology LTD
• West Suburban Wellness
• Erin Kaylin West
• Western Rehabilitation and Pain Management, S.C.
• Sarah Wetherell, MSW, LSW
• Iliyah White
• Megan Marie Whitfield
• Cheryl Wickstrom
• Nicole Marie Wiesman, LCPC

• Internal Medicine Physician in Lombard, IL
• Providers in Lombard, 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 Feb 2, 2010; 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.