City Center Health Care

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CITY CENTER HEALTH CARE

Doing business as

Shanthi R Gopi

Practice address

300 N Ottawa St
Joliet, IL 60432-4009

Phone

(815) 726-0311

Fax

(815) 726-0520

NPI assigned

Oct 29, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Shanthi R Gopi, MD

Title

President

Phone

(815) 726-0311

Specialties & licenses 1

Addresses

Other names 1

• Shanthi R Gopi Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1245874635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 KIMBERLEY CIR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231719",
            "telephone_number": "630-299-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324009",
            "telephone_number": "815-726-0311",
            "fax_number": "815-726-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY CENTER HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "GOPI",
        "authorized_official_first_name": "SHANTHI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-726-0311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://citycenter.patientmedrecords.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 N Ottawa St",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604324009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shanthi R Gopi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angelina M Cirrencione, PHARMD
• Meredith Mykel Cirrincione, MS, PA-C
• Miryam Cisneros
• Monica Cisneros, MA
• Amy Citlau, LPC
• City Center Physical Therapy - Joliet
• City Home Health Services LLC
• City of Joliet
• Pamela A. Clanton, CRNA
• Dottie Clark, LPN

• Pediatrics Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.