D/B/A METRO SOUTH MEDICAL CENTER PHYSICIAN GROUP – NPI #1225286412
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

D/B/A METRO SOUTH MEDICAL CENTER PHYSICIAN GROUP is a provider located in BLUE ISLAND, IL. NPPES has assigned the NPI number 1225286412 to D/B/A METRO SOUTH MEDICAL CENTER PHYSICIAN GROUP on September 03, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “D/B/A METRO SOUTH MEDICAL CENTER PHYSICIAN GROUP” is a dba name, the actual legal business name for this organization is MSMC INVESTORS, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 17 years ago on May 20, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for D/B/A METRO SOUTH MEDICAL CENTER PHYSICIAN GROUP below.

NPI Profile for
MSMC INVESTORS, LLC

NPI Number
1225286412
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MSMC INVESTORS, LLC
Doing Business As (dba): D/B/A METRO SOUTH MEDICAL CENTER PHYSICIAN GROUP
Primary location
12935 GREGORY ST
BLUE ISLAND, IL 60406-2428
Phone: (708) 597-2000 Fax: (708) 824-4505
Mailing address
P.O. BOX 2753
BEDFORD PARK, IL 60499-2753
Phone: (708) 597-2000 Fax: (708) 824-4505
Organization Subpart
No
Authorized Official
KATHLEEN WCISLO
PHYSICIAN DETAILER
Phone: (708) 597-2000
Updated
Identifiers

Identifiers for D/B/A METRO SOUTH MEDICAL CENTER PHYSICIAN GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBC/BSIL0001628587
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IL 036106823
367A00000X
- Advanced Practice Midwife
IL 209003023
207V00000X
- Obstetrics & Gynecology
IL 036045416

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.