Individual provider Active NPI

Henry Carag, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1144320037
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3646089 Issued in IL
Practice address
2915 W Cermak Rd
Chicago, IL 60623-3402
Phone
(773) 762-8400
Fax
(773) 762-8401
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3646089 IL Primary
Internal Medicine Physician 207R00000X 3646089 IL

Addresses

Primary practice location

2915 W Cermak Rd
Chicago, IL 60623-3402

Mailing address

2915 W Cermak Rd
Chicago, IL 60623-3402
Phone (773) 762-8400

Other identifiers 1

IdentifierTypeStateIssuer
2070922001OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3646089ILMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1144320037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233402",
            "telephone_number": "773-762-8400",
            "fax_number": "773-762-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233402",
            "telephone_number": "773-762-8400",
            "fax_number": "773-762-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAG",
        "first_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "3646089",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "3646089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2070922001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.