Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southwest Medical Affiliates, PC

Organization Internal Medicine Physician · NPI 1760603054

Southwest Medical Affiliates, PC is an Internal Medicine Physician in Chicago Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5630 111th St
Chicago Ridge, IL 60415-2406
Phone: (708) 857-5800
Fax: (708) 857-5805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016004378 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036063034 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036063793 (IL)

Record details

NPI number1760603054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Moriarty — Financial Specialist · (708) 857-5804
NPI enumeratedMay 2, 2007
Last updated in NPPESNovember 20, 2012
Mailing address5630 111th St, Chicago Ridge, IL 60415-2406

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