Active NPI
Pinnacle Health SC
- Internal Medicine Physician
- Skokie, IL
National Provider Identifier
1013007368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PINNACLE HEALTH SC
- Practice address
- 9955 Karlov Ave
Skokie, IL 60076-1117 - Phone
- (847) 677-1122
- Fax
- (847) 677-7382
- NPI assigned
- Oct 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anshu A Raj, M.D
- Title
- President
- Phone
- (847) 677-1122
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Primary |
Addresses
Primary practice location
9955 Karlov Ave
Skokie, IL 60076-1117
Mailing address
9955 Karlov Ave
Skokie, IL 60076-1117
Phone (847) 677-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01632751 | Other | BCBS |
National Provider Directory
National Provider DirectoryLocations
9955 Karlov Ave
Skokie, IL 60076
Phone (847) 677-1122
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1972771848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1013007368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9955 KARLOV AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761117",
"telephone_number": "847-677-1122",
"fax_number": "847-677-7382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9955 KARLOV AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761117",
"telephone_number": "847-677-1122",
"fax_number": "847-677-7382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE HEALTH SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-14",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "RAJ",
"authorized_official_first_name": "ANSHU",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-677-1122",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01632751",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.