Environmental & Respiratory Medicine

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

ENVIRONMENTAL & RESPIRATORY MEDICINE

Practice address

12250 S 80TH Ave
Palos Heights, IL 60463

Phone

(708) 448-1400

NPI assigned

Aug 22, 2006

Last updated

Jul 21, 2022By 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

Dr. Terrence Moisan, M.D.NPI 1699722793

Title

President

Phone

(708) 349-0055

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terrence C Moisan, M.D.

  • Pulmonary Disease Physician
  • Palos Heights, IL
  • NPI 1699722793
  NPD (past) Authorized official
• Ahmad K Agha, M.D.

  • Pulmonary Disease Physician
  • Morris, IL
  • NPI 1376592717
  NPD (past)
• Michael W Heniff, M.D.

  • Pulmonary Disease Physician
  • Palos Heights, IL
  • NPI 1790724417
  NPD (past)
• Alexander S Bozanich, M.D.

  • Pulmonary Disease Physician
  • Munster, IN
  • NPI 1255302576
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194831099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 W 143RD ST STE B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621989",
            "telephone_number": "708-349-0055",
            "fax_number": "708-460-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 S 80TH AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-448-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVIRONMENTAL & RESPIRATORY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOISAN",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-349-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1617513",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "CB9988",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica R Ellis, MD
• Emergency Medical Associates of Palos, LTD.
• Ellie Engel
• Mary Therese Englehart, MS CCC/SLP
• Patricia J Englehart, RN
• Shruti S Erramilli, M.D.
• Carli Renee Esboldt
• Mona L Etchison, PSYD
• Eugene Mandrea, M.D., S.C.
• Annika Evenhouse

• Pulmonary Disease Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.