Chicago Health Colleagues, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CHICAGO HEALTH COLLEAGUES, LLC

Practice address

12251 S 80TH Ave
Palos Heights, IL 60463-1256

Phone

(708) 923-5242

Fax

(708) 923-5035

NPI assigned

Nov 17, 2016

Organization subpart

Yes

Parent organization

PALOS COMMUNITY HOSPITALAs reported in NPPES

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

Authorized official

Name

Charles E Reiter III, J.D.

Title

Exec. Vice President & Secretary

Phone

(708) 923-5000

Specialties & licenses 3

Addresses

Part of

Palos Community Hospita

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1154863447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631256",
            "telephone_number": "708-923-5242",
            "fax_number": "708-923-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO HEALTH COLLEAGUES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALOS COMMUNITY HOSPITAL",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "REITER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXEC. VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "708-923-5000",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.