Organization Active NPI

Hygeia Medical Group SC

  • Obstetrics & Gynecology Physician
  • Palos Heights, IL
National Provider Identifier
1205005691
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HYGEIA MEDICAL GROUP SC
Practice address
12211 S Harlem Ave
Palos Heights, IL 60463-1471
Phone
(708) 361-4211
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
George Basil Chronis, M.D.
Title
President
Phone
(708) 361-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

12211 S Harlem Ave
Palos Heights, IL 60463-1471

Mailing address

10660 W 143Rd St
Suite B
Orland Park, IL 60462-1982
Phone (708) 460-4499

Other identifiers 1

IdentifierTypeStateIssuer
CF1204OtherILPALMETTO RR MEDICARE

National Provider Directory

National Provider Directory

Locations

10660 W 143rd St
Ste B
Orland Park, IL 60462
Phone (312) 349-0055

12211 S Harlem Ave
Palos Heights, IL 60463
Phone (312) 361-4211

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1205005691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 W 143RD ST",
            "address_2": "SUITE B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621982",
            "telephone_number": "708-460-4499",
            "fax_number": "708-460-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631471",
            "telephone_number": "708-361-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYGEIA MEDICAL GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "CHRONIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BASIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-361-4211",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "CF1204",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.