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SOUTHWEST MEDICAL AFFILIATES, PC
NPI 1760603054
Podiatrist - Foot & Ankle Surgery in Chicago Ridge, IL

Active since May 02, 2007
5630 111TH ST, CHICAGO RIDGE, IL 60415(708) 857-5800(708) 857-5805 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southwest Medical Affiliates, Pc NPPES

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

SOUTHWEST MEDICAL AFFILIATES, PC (NPI 1760603054) is a healthcare organization registered as a foot & ankle surgery in Chicago Ridge, Illinois and active in the NPI registry since May 2007. The organization lists Sharon L Moriarty, Financial Specialist, as its authorized official.

NPPES Registry Identity

NPI1760603054
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSOUTHWEST MEDICAL AFFILIATES, PC
Location Address5630 111TH STChicago Ridge, IL 60415-2406
Mailing Address5630 111th StChicago Ridge, IL 60415-2406 · (708) 857-5800 · Fax (708) 857-5805
Phone(708) 857-5800
Fax(708) 857-5805
Organization SubpartNo
Authorized OfficialSharon L MoriartyFinancial Specialist · (708) 857-5804
Enumeration DateMay 2, 2007
Last NPPES UpdateNovember 20, 2012
✔ NPI 1760603054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016004378
Also ListedInternal MedicineTaxonomy 207R00000X · License 036063034 (IL)
Also ListedPediatricsTaxonomy 208000000X · License 036063793 (IL)
5630 111TH ST, Chicago Ridge, IL 60415
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Other Identifiers 11

Medicaid016004378IL
Medicaid036063793IL
Medicaid036063034IL
Other1629084116IL · Npi
Medicare UPINE60951IL
Medicare UPINE60974IL
Medicare ID-Type Unspecified200288IL
Other1972519486IL · Npi
Medicare UPINU28508IL
Other1407861982IL · Npi
Medicare NSC4334360001

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

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

PATRICIA VICTORIA STRZEMBOSZ MD
Pediatrics (Adolescent Medicine)
5630 111TH ST
CHICAGO RIDGE, IL 60415
Cook County (708) 857-5800

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 Southwest Medical Affiliates, PC's NPI number?

The NPI number for Southwest Medical Affiliates, PC is 1760603054. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Southwest Medical Affiliates, PC located?

Southwest Medical Affiliates, PC is located at 5630 111th St, Chicago Ridge, IL 60415. The listed phone number is (708) 857-5800.

What is Southwest Medical Affiliates, PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Southwest Medical Affiliates, PC was last updated on November 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.