Organization Active NPI

River Grove Medical Partners, LTD

  • Internal Medicine Physician
  • River Forest, IL
National Provider Identifier
1225282981
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036081395 Issued in IL
Legal business name
RIVER GROVE MEDICAL PARTNERS, LTD
Practice address
7355 North Ave
River Forest, IL 60305-1230
Phone
(708) 771-0921
Fax
(708) 771-0925
NPI assigned
Nov 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Dr. Don Jay Williams, M.D.
Title
President
Phone
(708) 771-0921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036081395 IL Primary

Addresses

Primary practice location

7355 North Ave
River Forest, IL 60305-1230

Mailing address

7355 North Ave
River Forest, IL 60305-1230
Phone (708) 771-0921

National Provider Directory

National Provider Directory

Locations

7355 North Ave
River Forest, IL 60305
Phone (708) 771-0921

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1225282981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051230",
            "telephone_number": "708-771-0921",
            "fax_number": "708-771-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051230",
            "telephone_number": "708-771-0921",
            "fax_number": "708-771-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER GROVE MEDICAL PARTNERS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-771-0921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036081395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.