Aurora Healthcare Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.059705 Issued in IL

Legal business name

AURORA HEALTHCARE INC

Practice address

1502 W Chicago Ave
Chicago, IL 60642-5236

Phone

(773) 672-2561

Fax

(773) 672-2560

NPI assigned

Oct 17, 2014

Organization subpart

No

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

Authorized official

Name

Gennadii Karandieiev

Title

Owner

Phone

(773) 672-2561

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1114321353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236",
            "telephone_number": "773-672-2561",
            "fax_number": "773-672-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236",
            "telephone_number": "773-672-2561",
            "fax_number": "773-672-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "KARANDIEIEV",
        "authorized_official_first_name": "GENNADII",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-672-2561"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.059705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aura Onyx Counseling & Wellness LLC
• Samantha Marie Auriemma
• Aurora Chicago Lakeshore Hospital LLC
• Aurora Chicago Lakeshore Hospital LLC
• Aurora Chicago Lakeshore Hospital, LLC (Aurora Chicago Lakeshore Hospital Children's Pavilion)
• Aurora Nuclear Medicine Service LTD
• Elizabeth Ashley Ausland, LPC, CADC
• Auspex Home Health Care Services Incorporated
• Alison Ann Austermuehle
• Ethan Austhof, MD

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.