Javier Moreno MD Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-052532 Issued in IL

Legal business name

JAVIER MORENO MD CORP

Practice address

1819 N Normandy Ave
Chicago, IL 60707-3927

Phone

(847) 620-9116

Fax

(844) 718-2707

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Javier A Moreno, MD

Title

President

Phone

(847) 620-9116

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17024/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1043713324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 N NORMANDY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073927",
            "telephone_number": "847-620-9116",
            "fax_number": "844-718-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 N NORMANDY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073927",
            "telephone_number": "847-620-9116",
            "fax_number": "844-718-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER MORENO MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-620-9116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-052532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisa Jauregui, LCMT, COTA/L
• Basma Javaid
• Adil Javed
• Javette C Orgain MD SC
• Tara M Javidan, LCPC, CADC
• Ana Lilia Javier-Etapa, L.C.P.C
• Calvin Javier, MD
• Carlito Cruz Javier, MD
• Desler Johnson Javier, M.D.
• Emily Javier

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Mar 13, 2018; 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.