Active NPI
A to Z of Health LLC
- Sports Medicine (Internal Medicine) Physician
- Highland Park, IL
National Provider Identifier
1043496433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 036096721
- Legal business name
- A TO Z OF HEALTH LLC
- Practice address
- 767 Park Ave W
Ste 130
Highland Park, IL 60035-2400 - Phone
- (847) 433-1501
- NPI assigned
- Jan 15, 2008
- 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
- Dr. Gregory Eugene Crovetti, M.D.
- Title
- President/Ceo
- Phone
- (708) 502-3433
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036096721 | IL | |
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 036096721 | IL | Primary |
| Pain Medicine Physician | 208VP0000X | 036096721 | IL |
Addresses
Primary practice location
767 Park Ave W
Ste 130
Highland Park, IL 60035-2400
Mailing address
1729 N 77TH CT
Elmwood Park, IL 60707-4111
Phone (708) 502-3433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360967212 | Medicaid | IL | |
| L97910 | Other | IL | MEDICARE ID-TYPE UNSPECIF |
National Provider Directory
National Provider DirectoryLocations
71 Waukegan Rd
Ste 100
Lake Bluff, IL 60044
Phone (847) 283-0950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202428800000",
"number": "1043496433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 N 77TH CT",
"city": "ELMWOOD PARK",
"state": "IL",
"postal_code": "607074111",
"telephone_number": "708-502-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 PARK AVE W",
"address_2": "STE 130",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600352400",
"telephone_number": "847-433-1501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A TO Z OF HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-15",
"last_updated": "2008-02-08",
"status": "A",
"authorized_official_last_name": "CROVETTI",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "708-502-3433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036096721",
"primary": false
},
{
"code": "207RS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sports Medicine",
"state": "IL",
"license": "036096721",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "IL",
"license": "036096721",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "360967212",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIF",
"identifier": "L97910",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.