NPIMap

Organization Active NPI

Executive Health Group of Illinois, SC

Doing business as EHE International

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1033485818
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EXECUTIVE HEALTH GROUP OF ILLINOIS, SC
Doing business as
EHE International
Practice address
181 W Madison St Ste 4550
Chicago, IL 60602-4636
Phone
(312) 341-2586
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Ms. Roxana Roperto
Title
Director of Accounting
Phone
(212) 332-3725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

181 W Madison St Ste 4550
Chicago, IL 60602-4636

Mailing address

10 Rockefeller PLZ FL 4
New York, NY 10020-1903
Phone (212) 332-3700

Other names 1

  • EHE International Doing business as

National Provider Directory

National Provider Directory

Locations

181 W Madison St
Ste 4550
Chicago, IL 60602
Phone (312) 341-2586

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1033485818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROCKEFELLER PLZ FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201903",
            "telephone_number": "212-332-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MADISON ST STE 4550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024636",
            "telephone_number": "312-341-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE HEALTH GROUP OF ILLINOIS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "ROPERTO",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "212-332-3725",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EHE International",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2012; 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.