Robert J Hoshizaki, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036056871 Issued in IL

Practice address

912 Northwest Hwy
Ste 107
Fox River Grove, IL 60021-1925

Phone

(847) 462-5100

Fax

(847) 462-5101

NPI assigned

Sep 26, 2005

Last updated

Dec 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1053307967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 NORTHWEST HWY",
            "address_2": "STE 107",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211925",
            "telephone_number": "847-462-5100",
            "fax_number": "847-462-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 NORTHWEST HWY",
            "address_2": "STE 107",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211925",
            "telephone_number": "847-462-5100",
            "fax_number": "847-462-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSHIZAKI",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036056871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-056871",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhoshizaki223662@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "912 Northwest Hwy",
            "address_2": "Ste 107",
            "city": "Fox River Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600211925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/apI/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "912 Northwest Hwy",
            "address_2": "Ste 107",
            "city": "Fox River Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600211925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Internal Medicine Physician in Fox River Grove, IL
• Providers in Fox River Grove, 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 Dec 26, 2021; 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.