1. Home
  2. Directory
  3. Illinois
  4. Homewood
  5. Specialist
  6. NPI Profile

NEPOMUCENO MEDICAL ASSOCIATES,SC.
NPI 1225101926
Specialist in Homewood, IL

Active since November 17, 2006
18811 DIXIE HWY, SUITE 200, HOMEWOOD, IL 60430(708) 799-6363(708) 799-6399 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nepomuceno Medical Associates,sc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEPOMUCENO MEDICAL ASSOCIATES,SC. (NPI 1225101926) is a healthcare organization registered as a specialist in Homewood, Illinois and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Olympia Fields and lists Edilberto Elazegui Nepomuceno, Vp/treasurer, as its authorized official.

NPPES Registry Identity

NPI1225101926
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEPOMUCENO MEDICAL ASSOCIATES,SC.
Location Address18811 DIXIE HWY, SUITE 200Homewood, IL 60430-3919
Mailing AddressPo Box 370Chicago Heights, IL 60412-0370 · (708) 799-6363 · Fax (708) 799-6399
Phone(708) 799-6363
Fax(708) 799-6399
Organization SubpartNo
Authorized OfficialEdilberto Elazegui NepomucenoVp/treasurer · (708) 799-6363
Enumeration DateNovember 17, 2006
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1225101926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036069957
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
18811 DIXIE HWY, Homewood, IL 60430
Open in Google Maps ↗

Secondary Practice Location 1

Location 13700 W 203rd St Ste 112Olympia Fields, IL 60461-1181 · Phone (708) 679-2580 · Fax (708) 503-3810

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ZEBA SHAKIR MD
Pediatrics
18811 DIXIE HWY, SUITE 101
HOMEWOOD, IL 60430
Cook County (708) 335-3693
ALMUQTADIR INC.
Clinic/Center (Primary Care)
18811 DIXIE HWY, SUITE 101
HOMEWOOD, IL 60430
Cook County (708) 798-1665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nepomuceno Medical Associates,sc.'s NPI number?

The NPI number for Nepomuceno Medical Associates,sc. is 1225101926. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Nepomuceno Medical Associates,sc. located?

Nepomuceno Medical Associates,sc. is located at 18811 Dixie Hwy Suite 200, Homewood, IL 60430. The listed phone number is (708) 799-6363.

What is Nepomuceno Medical Associates,sc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Nepomuceno Medical Associates,sc. was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.