U.S. HEALTHWORKS MEDICAL GROUP OF ILLINOIS, PC (NPI# 1114476397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114476397 |
| Entity Type | Organization |
| Organization Name | U.S. HEALTHWORKS MEDICAL GROUP OF ILLINOIS, PC |
| Practice Address |
614 W Monroe St Chicago IL 60661-3654 |
| Mailing Address |
25124 Springfield Ct Suite 200 Valencia CA 91355-1085 |
| Practice Telephone | 3122580700 |
| Practice Fax Number | 3122580705 |
| Mailing Telephone | 6616782600 |
| Mailing Fax Number | 6616782700 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2018-01-04 |
| 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 |
| 1861941163 | U.S. Healthworks Medical Group of Illinois, PC | Preventive Medicine | 2615 Harrison St, Bellwood, IL 60104-2450 | 2016-09-27 |
| 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 |
614 W MONROE ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60661-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194068411 | Joseph Michael Rekruciak | Specialist/Technologist | 614 W Monroe St, Chicago, IL 60661-3654 | 2013-04-04 |
| 1588167290 | Occupational Health Centers of Illinois PC | Clinic/Center | 614 W Monroe St, Chicago, IL 60661-3654 | 2018-03-09 |
| 1427551134 | American Current Care of Illinois PC | Clinic/Center | 614 W Monroe St, Chicago, IL 60661-3654 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1174003644 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661 | 2018-08-15 |
| 1154835932 | Kathleen Emery | Psychologist | 555 W Jackson Blvd Ste 700, Chicago, IL 60661 | 2017-11-30 |
| 1407384886 | Dana M Trotta | Physical Therapist | 500 W Madison St # C024, Chicago, IL 60661 | 2017-05-30 |
| 1003356874 | Carcena Harvey-burns | Nurse Practitioner | 549 W Randolph St, Chicago, IL 60661 | 2017-02-27 |
| 1962949610 | H & U of West Loop LLC | Dentist | 207 S. Halsted St., Chicago, IL 60661 | 2017-01-19 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306114699 | Telos Therapy, LLC | Physical Therapist | 651 W Washington Blvd Ste 305, Chicago, IL 60661 | 2011-12-01 |
| 1912288622 | Peter Cuauhtemoc Shinnick | Pharmacist | 111 S Halsted, Chicago, IL 60661 | 2011-09-08 |
| 1619292570 | Ramandeep Kaur | Family Medicine | 1717 W. Congress Parkway Kellogg Suite 1125, Rush University Medical Center, Chicago, IL 60661 | 2010-04-05 |
| Find all providers in zip 60661 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1003385535 | Midwest Express Care 2 Inc | Clinic/Center | 3258 W 111th St, Chicago, IL 60655-2729 | 2018-11-14 |
| 1215302971 | Medspring of Texas, Pa | Clinic/Center | 779 Adams, Chicago, IL 60661-0000 | 2015-12-07 |
| 1255722120 | Medspring of Texas, Pa | Clinic/Center | 3301 N Ashland Ave, Chicago, IL 60657-2127 | 2015-02-12 |
| 1942690672 | Northwestern Memorial Healthcare | Clinic/Center | 1030 N Wolcott Ave, Chicago, IL 60622-5986 | 2015-02-03 |
| 1376941849 | Medspring of Texas, Pa | Clinic/Center | 219 W Chicago Ave, Chicago, IL 60654-5600 | 2014-12-15 |
| 1790030385 | Hometown Urgent Care of Michigan, P.C. | Clinic/Center | 7483 Solutions Ctr, Chicago, IL 60677-7004 | 2012-07-19 |
| 1811256043 | Immediate M.d., LLC | Clinic/Center | 2037 N Clybourn Ave, Chicago, IL 60614-4003 | 2012-05-08 |
| 1003084112 | South Loop Urgent Care, LLC | Clinic/Center | 1430 S Michigan Ave, C2, Chicago, IL 60605-2960 | 2008-02-12 |
| 1316136955 | American Current Care of Illinois PC | Clinic/Center | 1230 West Lake Street, Chicago, IL 60607-1602 | 2007-10-19 |
| Find all providers in CHICAGO | ||||
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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.