Experience Health, S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EXPERIENCE HEALTH, S.C.

Practice address

2850 W 95TH St Ste 301
Evergreen Park, IL 60805-2741

Phone

(630) 952-1412

Fax

(630) 952-1447

NPI assigned

Oct 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Webb, M.D.

Title

President

Phone

(630) 952-1412

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1033443403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 MCCOY DR STE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044429",
            "telephone_number": "630-952-1412",
            "fax_number": "630-952-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST STE 301",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052741",
            "telephone_number": "630-952-1412",
            "fax_number": "630-952-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE HEALTH, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-952-1412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.