Medwest Associates

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MEDWEST ASSOCIATES

Practice address

4425 Harrison St
Hillside, IL 60162-1901

Phone

(708) 202-1000

Fax

(708) 236-0860

NPI assigned

Feb 6, 2008

Last updated

Feb 6, 2008By 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

Mrs. Traci Wijas, R.N.

Title

Administrator

Phone

(708) 202-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1992983530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 HARRISON ST",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621901",
            "telephone_number": "708-202-1000",
            "fax_number": "708-236-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 HARRISON ST",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621901",
            "telephone_number": "708-202-1000",
            "fax_number": "708-236-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWEST ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "WIJAS",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-202-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Martinez
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• Sarah Mazur
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• MH Health Care Services, PC
• Annie Mo
• Felix Rodrigo Monroy
• Namm Partners, Inc.
• Magdoleen Nessim, MD

• Customized Equipment (DME) in Hillside, IL
• Providers in Hillside, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.