Comprehensive Healthcare, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

136127585 Issued in IL

Legal business name

COMPREHENSIVE HEALTHCARE, PC

Practice address

2401 Broadway St
Lower Level
Pekin, IL 61554-3905

Phone

(309) 349-3175

Fax

(309) 620-8751

NPI assigned

Feb 1, 2012

Last updated

Feb 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jamaluddin F Amanullah, M.D.NPI 1184673147

Title

Sole Proprietor

Phone

(309) 349-3175

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamaluddin F Amanullah, M.D.

  • Internal Medicine Physician
  • Pekin, IL
  • NPI 1184673147
  Authorized official Same address or phone

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1053683474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BROADWAY ST",
            "address_2": "LOWER LEVEL",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543905",
            "telephone_number": "309-349-3175",
            "fax_number": "309-620-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BROADWAY ST",
            "address_2": "LOWER LEVEL",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543905",
            "telephone_number": "309-349-3175",
            "fax_number": "309-620-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "AMANULLAH",
        "authorized_official_first_name": "JAMALUDDIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "309-349-3175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "136127585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Neal Collier
• Suzann Michelle Colthurst, SLP
• Victoria J. Columbia, LPN
• Community Care Systems, Inc.
• Community Living Options Inc (Davies Square)
• Kevin Conroy, DDS
• Countermeasures Inc
• Margaret Mary Courson, B.A., QMRP
• Diane Cozadd
• Tina I Crawford, RN

• Internal Medicine Physician in Pekin, IL
• Providers in Pekin, 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 Feb 26, 2013; 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.