# U.S. HEALTHWORKS MEDICAL GROUP OF ILLINOIS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** U.S. HEALTHWORKS MEDICAL GROUP OF ILLINOIS, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114476397
- **Legal business name:** U.S. HEALTHWORKS MEDICAL GROUP OF ILLINOIS, PC
- **Authorized official:** MR. JOSEPH T MALLAS (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (661) 678-2600

## Contact information

- **Practice address:** 614 W MONROE ST, CHICAGO, IL 60661-3654
- **Practice address phone:** (312) 258-0700
- **Practice address fax:** (312) 258-0705
- **Mailing address:** 25124 SPRINGFIELD CT, SUITE 200, VALENCIA, CA 91355-1085
- **Mailing address phone:** (661) 678-2600
- **Mailing address fax:** (661) 678-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083X0100X | Occupational Medicine Physician | — | NULL | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2016
- **Last updated:** 01/04/2018