Southwest Medical Affiliates, Pc

LBN: Southwest Medical Affiliates, Pc
Southwest Medical Affiliates, Pc is an health care organization with primary practice located at 5630 111Th St , Chicago Ridge IL 60415-2406. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Southwest Medical Affiliates, Pc can be contacted via phone (708) 857-5800, or through Moriarty, Sharon L via phone (708) 857-5804.

Contact Information

Primary practice address
5630 111Th St Chicago Ridge IL 60415-2406
Phone: (708) 857-5800
Fax: (708) 857-5805
Website:
Map and Directions
Authorized official contact:
Name: Moriarty, Sharon L
Phone: (708) 857-5804

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036063034 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036063793 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016004378 Illinois

Profile Details

NPI number 1760603054
LBN Legal business name Southwest Medical Affiliates, Pc
DBA Doing business as
Authorized official Moriarty, Sharon L
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Nov 20th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760603054 NPPES
Illinois Other 1407861982 NPI
Illinois MEDICAID 036063034 NPI
Illinois Other 1629084116 NPI
Illinois Other 1972519486 NPI
Illinois MEDICAID 016004378 NPI
Illinois MEDICAID 036063793 NPI

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