Organization Active NPI

Pinnacle Health SC

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1013007368
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Nov 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anshu A Raj, M.DNPI 1972771848
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01632751OtherBCBS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.