NPIMap

Organization Active NPI

Santos Natural Health Center

  • Exclusive Provider Organization
  • Berwyn, IL
National Provider Identifier
1104291434
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
198001280 Issued in IL
Legal business name
SANTOS NATURAL HEALTH CENTER
Practice address
6905 Cermak Rd Ste B
Berwyn, IL 60402-2175
Phone
(708) 317-4240
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Mr. Anas Husni Khalifeh, L.AC
Title
Co-Owner
Phone
(630) 670-8351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 198001280 IL Primary

Addresses

Primary practice location

6905 Cermak Rd Ste B
Berwyn, IL 60402-2175

Mailing address

6905 Cermak Rd Ste B
Berwyn, IL 60402-2175
Phone (708) 317-4240

National Provider Directory

National Provider Directory

Locations

6905 Cermak Rd
Ste B
Berwyn, IL 60402
Phone (708) 317-4240

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1104291434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 CERMAK RD STE B",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022175",
            "telephone_number": "708-317-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 CERMAK RD STE B",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022175",
            "telephone_number": "708-317-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS NATURAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "KHALIFEH",
        "authorized_official_first_name": "ANAS",
        "authorized_official_middle_name": "HUSNI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "630-670-8351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "IL",
            "license": "198001280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.