Moving Up Foundation, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOVING UP FOUNDATION, INC.

Practice address

520 W Armory Dr
South Holland, IL 60473-2824

Phone

(708) 596-0410

NPI assigned

Feb 20, 2007

Last updated

Mar 3, 2008By 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. Rajiv Kandala, M.D.NPI 1376608059

Title

President

Phone

(773) 793-4527

Specialties & licenses 1

Addresses

Other identifiers 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.

• Rajiv Kandala, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1376608059
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1255476206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10825 SCARLET DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674402",
            "telephone_number": "773-793-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W ARMORY DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732824",
            "telephone_number": "708-596-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING UP FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "KANDALA",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-793-4527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109208",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren-Renae Mitchell, OTR
• Stacie R Mitchell, DOULA
• Daniel Montalvo, M.D.
• Jazmin Montgomery
• Motherland Sheltered Services Inc
• Lakichay Nadira Muhammad
• Ciara Murabito, MS, RD, LDN
• Shafaq Raafat Mustafa, DDS
• N'Chars Hands Home Care LLC
• N'Chars Hands Homecare LLC

• Family Medicine Physician in South Holland, IL
• Providers in South Holland, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.