Hosep H Deyrmenjian, MD, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

36079535 Issued in IL

Legal business name

HOSEP H DEYRMENJIAN, MD, PC

Practice address

6440 Grand Ave
Suite 205
Gurnee, IL 60031-5257

Phone

(847) 855-3150

Fax

(847) 855-3143

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Hosep H Deyrmenjian, M.D.

Title

Owner

Phone

(847) 855-3150

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1043482250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 GRAND AVE",
            "address_2": "SUITE 205",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315257",
            "telephone_number": "847-855-3150",
            "fax_number": "847-855-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 GRAND AVE",
            "address_2": "SUITE 205",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315257",
            "telephone_number": "847-855-3150",
            "fax_number": "847-855-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSEP H DEYRMENJIAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "DEYRMENJIAN",
        "authorized_official_first_name": "HOSEP",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-855-3150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "36079535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36079535",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4920692",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Holman, M.A., CCC-SLP
• Madelline May Holmes, LCSW
• Colleen Mack Holtgreive, RBT
• June M Homan, APN
• Zeungeon Mark Hongs, MD
• Arash Reza Hosseini, D.D.S.
• Heather Maria Howard, LCSW
• Kyle James Hresko, D.D.S.
• Charisse Hudson-Quigley, M.D.
• Steven Hullana

• Gastroenterology Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.