Hermosa Healthcare of Chicago Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HERMOSA HEALTHCARE OF CHICAGO INC.

Practice address

2002 N Pulaski Rd
Chicago, IL 60639-3767

Phone

(773) 772-8876

NPI assigned

Nov 30, 2023

Organization subpart

No

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

Authorized official

Name

David Kang, MD

Title

Physician

Phone

(580) 478-6347

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anca Daniela Bulgariu, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Chicago, IL
  • NPI 1003935644
  NPD
• Bianca Cartagena, APN, FNP-BC

  • Family Nurse Practitioner
  • Buffalo Grove, IL
  • NPI 1861844607
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1013783075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393767",
            "telephone_number": "773-772-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMOSA HEALTHCARE OF CHICAGO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-478-6347",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Hermina
• Rita Hermiz, PHARMD
• Taylor Anne Hermle
• Brazil Hermon
• Hermosa Dental Clinic
• Hermosa Medical & Diagnostic Center Inc
• Hermosa Pharmacy Inc
• Cynthia Chicago Hermosillo
• Rachel Anne Hern, OTD, OTR/L
• Mary J Hernan

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.