Charm Development LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036035802 Issued in IL

Legal business name

CHARM DEVELOPMENT LLC

Practice address

515 W 14TH St
Unit C
Chicago Heights, IL 60411-2456

Phone

(708) 503-1105

NPI assigned

Jul 22, 2008

Last updated

Jul 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Day

Title

Ceo

Phone

(708) 503-1105

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Charm Development2 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.

• Charm Development

  • Family Medicine Physician
  • Chicago Heights, IL
  • NPI 1700898954
  NPD tax ID

Locations

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1164687869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W 14TH ST",
            "address_2": "UNIT C",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112456",
            "telephone_number": "708-503-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W 14TH ST",
            "address_2": "UNIT C",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112456",
            "telephone_number": "708-503-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-503-1105"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036035802",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "335-027231",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036035802",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noreen Carter
• Michael Casner, M.D.
• Myrna Cavazos
• Tony K Chan, M.D.
• Charm Development
• Nitet Charo, D.P.M.
• Shweta Chawla, M.D.
• Chicago Heights Dialysis LLC (Chicago Heights Dialysis)
• Chicago Heights Medical Consultants S.C.
• Chicago Heights Pain Center, P.C.

• Family Medicine Physician in Chicago Heights, IL
• Providers in Chicago Heights, 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 Jul 22, 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.