Organization Active NPI

Rogers Park One Day Surgery Center, Inc

Doing business as Herron Medical Center, LTD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1164669909
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROGERS PARK ONE DAY SURGERY CENTER, INC
Doing business as
Herron Medical Center, LTD
Practice address
1150 N State St
Chicago, IL 60610-7481
Phone
(312) 337-6072
Fax
(312) 337-3163
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Anita Nayak
Title
Administrator
Phone
(312) 337-6072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1150 N State St
Chicago, IL 60610-7481

Mailing address

1150 N State St
Chicago, IL 60610-7481
Phone (312) 337-6072

Other names 1

  • HERRON MEDICAL CENTER, LTD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Herron Medical Center LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1150 N State St
Chicago, IL 60610
Phone (312) 337-6072

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1164669909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107481",
            "telephone_number": "312-337-6072",
            "fax_number": "312-337-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107481",
            "telephone_number": "312-337-6072",
            "fax_number": "312-337-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS PARK ONE DAY SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-337-6072"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERRON MEDICAL CENTER, LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 15, 2009; 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.