Active NPI
Duo Medical Group of Illinois PC
- Nephrology Physician
- Chicago, IL
National Provider Identifier
1023767886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- DUO MEDICAL GROUP OF ILLINOIS PC
- Practice address
- 980 N Michigan Ave Ste 1998
Chicago, IL 60611-7504 - Phone
- (314) 791-0542
- NPI assigned
- Mar 21, 2022
- 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
- Mrs. Meaghan Hunter Jones
- Title
- VP Operations
- Phone
- (314) 791-0542
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
980 N Michigan Ave Ste 1998
Chicago, IL 60611-7504
Mailing address
980 N Michigan Ave Ste 1998
Chicago, IL 60611-7504
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647820800000",
"number": "1023767886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 N MICHIGAN AVE STE 1998",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606117504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 N MICHIGAN AVE STE 1998",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606117504",
"telephone_number": "314-791-0542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUO MEDICAL GROUP OF ILLINOIS PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-21",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MEAGHAN",
"authorized_official_middle_name": "HUNTER",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "314-791-0542",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.