U.S. HEALTHWORKS MEDICAL GROUP OF ILLINOIS, PC (NPI# 1861941163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861941163 |
Entity Type | Organization |
Organization Name | U.S. HEALTHWORKS MEDICAL GROUP OF ILLINOIS, PC |
Practice Address |
2615 Harrison St Bellwood IL 60104-2450 |
Mailing Address |
25124 Springfield Ct Suite 200 Valencia CA 91355-1085 |
Practice Telephone | 7084930299 |
Practice Fax Number | 7084930594 |
Mailing Telephone | 6616782600 |
Mailing Fax Number | 6616782700 |
Enumeration Date | 2016-09-27 |
Last Update Date | 2016-09-27 |
Authorized Official Name | MR. JOSEPH T MALLAS (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6616782600 |
Is Organization Subpart | Y |
Parent Organization Name | U.S. HEALTHWORKS MEDICAL GROUP OF ILLINOIS, PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659820843 | U.S. Healthworks Medical Group of Illinois, PC | Preventive Medicine | 4200 Mannheim Rd, Schiller Park, IL 60176-1872 | 2016-09-28 |
1114476397 | U.S. Healthworks Medical Group of Illinois, PC | Preventive Medicine | 614 W Monroe St, Chicago, IL 60661-3654 | 2016-09-28 |
1467797316 | U.S. Healthworks Medical Group of Illinois, PC | Clinic/Center | 25124 Springfield Ct, Suite 200, Valencia, CA 91355-1085 | 2012-12-04 |
Street Address |
2615 HARRISON ST |
City | BELLWOOD |
State | IL |
Zip Code | 60104-2450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457344657 | Occu - Sports Med Corp | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2005-08-24 |
1558842773 | Nicholas Michael Mchugh | Physician Assistant | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-08-25 |
1770086480 | Occupational Health Centers of Illinois PC | Clinic/Center | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-03-09 |
1164925871 | American Current Care of Illinois PC | Clinic/Center | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-03-09 |
1497206676 | Joel Starzyk | Physical Therapy Assistant | 2615 Harrison St, Bellwood, IL 60104-2450 | 2016-10-21 |
1821414939 | Elis X Rodriguez | Specialist/Technologist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2014-03-13 |
1104259126 | Brian B Minardi | Physician Assistant | 2615 Harrison St, Bellwood, IL 60104-2450 | 2013-08-13 |
1134551518 | Joe Mattingly | Specialist/Technologist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2013-08-07 |
1215273834 | Advanced Occupational Medicine Specialists | Internal Medicine | 2615 Harrison St, Bellwood, IL 60104 | 2012-12-31 |
1073813507 | Julie Grobbelaar Fernandes | Specialist | 2615 Harrison St, Bellwood, IL 60104-2450 | 2010-11-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538682232 | Juanita Erica Williams | Non-emergency Medical Transport (VAN) | 622 Bohland Ave, Bellwood, IL 60104 | 2017-07-25 |
1548680887 | Edward Erlikh | Family Medicine | 456 25th Ave, Bellwood, IL 60104 | 2014-04-25 |
1649472333 | American Family Dental Care P.c | Dentist | 4209.st.charles Road, Bellwood, IL 60104 | 2007-06-04 |
1235291287 | Lary Michael Pane | Dentist | 4420 St Charles Road, Bellwood, IL 60104 | 2006-12-15 |
1356411136 | Westchester Family Dental Ltd | Dentist | 4 Westbrook Corporate Center Ste 102, Westchester, IL 60104 | 2006-11-08 |
1750450128 | Sethurama Muthuramaswami | Dentist | 4209.st. Charles Road, Bellwood, IL 60104 | 2006-11-07 |
1508966466 | Universal Transportation II | Secured Medical Transport (VAN) | 2843 Washington Blvd, Bellwood, IL 60104 | 2006-09-22 |
1437103512 | Modupe Oladeinde | Family Medicine | 619 South 25th Avenue, Bellwood, IL 60104 | 2006-05-21 |
1811533953 | United Methodist Homes and Services | Physical Therapist | 439 Bohland Ave, Bellwood, IL 60104 | 2019-11-25 |
1740690668 | Hiram Kirkendall Jr. | Counselor | 510 Geneva Ave, Bellwood, IL 60104 | 2014-04-30 |
Find all providers in zip 60104 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164925871 | American Current Care of Illinois PC | Clinic/Center | 2615 Harrison St, Bellwood, IL 60104-2450 | 2018-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013514090 | Elitecare Express LLC | Clinic/Center | 6740 Dempster St, Morton Grove, IL 60053-2609 | 2020-10-03 |
1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
1699397729 | Urgent Medical Care LLC | Clinic/Center | 980 Plainfield Rd, Willowbrook, IL 60527-1705 | 2020-05-12 |
1134749294 | Daniel Joseph Izewski | Clinic/Center | 3908 Elm St, Downers Grove, IL 60515-2119 | 2020-04-19 |
1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
1417518432 | Midwest Express Care 2, Inc | Clinic/Center | 9735 Skokie Blvd, Skokie, IL 60077-1383 | 2019-06-21 |
1457818536 | Wellnow Urgent Care, P.C. | Clinic/Center | 13448 Cicero Avenue, Crestwood, IL 60418-1430 | 2019-02-26 |
1215407812 | Illinois Urgent Care Professionals Pllc | Clinic/Center | 17960 Halsted St, Homewood, IL 60430-2014 | 2018-11-27 |
1003385535 | Midwest Express Care 2 Inc | Clinic/Center | 3258 W 111th St, Chicago, IL 60655-2729 | 2018-11-14 |
1487134961 | Express Urgent Care LLC | Clinic/Center | 10604 Southwest Hwy, Suite 109, Chicago Ridge, IL 60415-2717 | 2018-08-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.