C J Ireland D O S C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036071364 Issued in IL

Legal business name

C J IRELAND D O S C

Practice address

4905 Old Orchard Ctr
Skokie, IL 60077-1425

Phone

(847) 679-6707

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Cliff J Ireland, D.O.NPI 1952365116

Title

President

Phone

(847) 679-6707

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cliff J. Ireland, D.O.

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1952365116
  Medicare reassignment NPD Authorized official
• Vandana Jain, MD

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1730143728
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1083884993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771425",
            "telephone_number": "847-679-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771425",
            "telephone_number": "847-679-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C J IRELAND D O S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "IRELAND",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-679-6707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036071364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01621317",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara A. Butzen, CDE
• Bux Diagnostics Inc
• Julia Marie Byerly, PT
• Byung-Ho Yu, MD PC
• C a Catellani M D S C
• C.M.M., LLC
• Russel Raymund Yap Cabrera, PHYSICAL THERAPIST
• Elizabeth Wooster Calihan, M.D.
• Corrine Marie Callaghan, LCSW
• Noel M Camba, LMT

• Internal Medicine Physician in Skokie, IL
• Providers in Skokie, 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 May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.