Phoenix Health Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036114011 Issued in IL

Legal business name

PHOENIX HEALTH CARE LLC

Practice address

3315 Algonquin Rd
Suite 100
Rolling Meadows, IL 60008-3257

Phone

(847) 788-0700

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Richa Varma, M.D.

Title

President

Phone

(312) 622-0376

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1083909154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 ADMIRAL CT",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268055",
            "telephone_number": "312-622-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 ALGONQUIN RD",
            "address_2": "SUITE 100",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083257",
            "telephone_number": "847-788-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "VARMA",
        "authorized_official_first_name": "RICHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-622-0376",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036114011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114011",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Pauldon, INCORPORATION
• Pearl of Rolling Meadows LLC
• Marvin S Peiken, MD
• Maria Luisa Ramos Perez, RN-MASSAGE THERAPIST
• Lon J Petchenik, M.D.
• Physical Rehabilitation Clinics Inc.
• Physician on Call
• Bridget Gregory Pileggi, LMFT
• Jowella Real Pineda, M.D.
• PJG and Associates

• Internal Medicine Physician in Rolling Meadows, IL
• Providers in Rolling Meadows, 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 Aug 1, 2011; 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.