Active NPI
Cynthia L Bartholow MD PC
- Internal Medicine Physician
- Wilmette, IL
National Provider Identifier
1265754154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036 081882
- Legal business name
- CYNTHIA L BARTHOLOW MD PC
- Practice address
- 1921 Lake Ave Ste B
Wilmette, IL 60091-1480 - Phone
- (847) 853-9100
- Fax
- (847) 853-9103
- NPI assigned
- Feb 19, 2010
- Last updated
- Mar 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia L Bartholow, MD
- Title
- Owner
- Phone
- (847) 853-9100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036 081882 | IL | Primary |
Addresses
Primary practice location
1921 Lake Ave Ste B
Wilmette, IL 60091-1480
Mailing address
1921 Lake Ave Ste B
Wilmette, IL 60091-1480
Phone (847) 853-9100
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Wilmette, IL
- NPI 1992730436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332547200000",
"number": "1265754154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 LAKE AVE STE B",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911480",
"telephone_number": "847-853-9100",
"fax_number": "847-853-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 LAKE AVE STE B",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911480",
"telephone_number": "847-853-9100",
"fax_number": "847-853-9103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYNTHIA L BARTHOLOW MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-19",
"last_updated": "2012-03-24",
"status": "A",
"authorized_official_last_name": "BARTHOLOW",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-853-9100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036 081882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.