Imani Healthcare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036098836 Issued in IL

Legal business name

IMANI HEALTHCARE LLC

Practice address

3333 W Arthington St
100
Chicago, IL 60624-4280

Phone

(773) 265-8540

Fax

(773) 265-8541

NPI assigned

Mar 27, 2009

Last updated

Mar 27, 2009By 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. Cynthis Cay Thomas, M.D.

Title

Physician

Phone

(773) 265-8540

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Cynthia Thomas, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1043264823
  Medicare reassignment NPD

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1205078839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W ARTHINGTON ST",
            "address_2": "100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244280",
            "telephone_number": "773-265-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W ARTHINGTON ST",
            "address_2": "100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244280",
            "telephone_number": "773-265-8540",
            "fax_number": "773-265-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CYNTHIS",
        "authorized_official_middle_name": "CAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-265-8540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098836",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036098836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098836",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imagine Healthcare LLC
• Imagine Therapy Mindfulness Healing PLLC
• Imaginemd
• Imaginenation ABA LLC
• Tanya Imam, LCSW
• Manouchehr Imani, MD
• Iyare Kingsley Imanlihen, LCSW
• Alyssa Imbery
• Terence Imbery
• Rima H. Imburgia, L.C.P.C.

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.