PALOS MEDICAL GROUP, LLC.
NPI 1255660312
Obstetrics & Gynecology in Orland Park, IL

Active since December 18, 2009
15300 WEST AVE, ORLAND PARK, IL 60462(708) 590-5304(708) 590-5308 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2020, Apr 23, 2019, Apr 16, 2019 and 3 more (6 updates tracked since 2016).

About Palos Medical Group, Llc. NPPES

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

PALOS MEDICAL GROUP, LLC. (NPI 1255660312) is a healthcare organization registered as an obstetrics & gynecology in Orland Park, Illinois and active in the NPI registry since December 2009. The organization maintains a secondary practice location in Palos Heights and lists Terrence C Moisan, President, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255660312
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePALOS MEDICAL GROUP, LLC.
Location Address15300 WEST AVEOrland Park, IL 60462-4600
Mailing Address12251 S 80th Ave Ste 1630Palos Heights, IL 60463-1256 · (708) 923-5173 · Fax (708) 923-5018
Fax(708) 590-5308
Organization SubpartNo
Authorized OfficialTerrence C MoisanPresident, Ceo · (708) 923-5000
Enumeration DateDecember 18, 2009
Last NPPES UpdateJanuary 26, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
NPI 1255660312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

15300 WEST AVE, Orland Park, IL 60462

Secondary Practice Location 1

Location 112251 S 80th AvePalos Heights, IL 60463-1256 · Phone (708) 590-5304 · Fax (708) 590-5308

Other Identifiers 1

Medicaid36102101IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
15300 WEST AVE, WEST BLDG., SUITE 310
ORLAND PARK, IL 60462
Dentist (General Practice)
15300 WEST AVE, SUITE 111
ORLAND PARK, IL 60462
Podiatrist
15300 WEST AVE
ORLAND PARK, IL 60462
Family Medicine
15300 WEST AVE
ORLAND PARK, IL 60462
Internal Medicine
15300 WEST AVE, SUITE 303
ORLAND PARK, IL 60462
Family Medicine
15300 WEST AVE
ORLAND PARK, IL 60462
Family Medicine
15300 WEST AVE
ORLAND PARK, IL 60462
Internal Medicine (Rheumatology)
15300 WEST AVE, STE. 201
ORLAND PARK, IL 60462

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 Palos Medical Group, LLC.'s NPI number?

The NPI number for Palos Medical Group, LLC. is 1255660312. It was assigned to this organization in the NPPES registry on December 18, 2009.

Where is Palos Medical Group, LLC. located?

Palos Medical Group, LLC. is located at 15300 West Ave, Orland Park, IL 60462. The listed phone number is (708) 590-5304.

What is Palos Medical Group, LLC.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Palos Medical Group, LLC. was last updated on January 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.