NPIMap

Organization Active NPI

C & R Medical Group, S.C.

  • Family Medicine Physician
  • Joliet, IL
National Provider Identifier
1063659654
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036089209 Issued in IL
Legal business name
C & R MEDICAL GROUP, S.C.
Practice address
1301 Copperfield Ave Ste 210
Joliet, IL 60432-2056
Phone
(815) 774-0548
Fax
(815) 774-0573
NPI assigned
Jan 19, 2009
Last updated
Jan 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Dr. Jitender R Singh, D.O.
Title
President
Phone
(630) 952-1412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036089209 IL Primary

Addresses

Primary practice location

1301 Copperfield Ave Ste 210
Joliet, IL 60432-2056

Mailing address

PO Box 66542
Chicago, IL 60666-0542
Phone (630) 952-1412

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1063659654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66542",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606660542",
            "telephone_number": "630-952-1412",
            "fax_number": "630-952-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COPPERFIELD AVE STE 210",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322056",
            "telephone_number": "815-774-0548",
            "fax_number": "815-774-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & R MEDICAL GROUP, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "JITENDER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-952-1412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036089209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.