NPIMap

Organization Active NPI

Harmony Health Partners, SC

  • Internal Medicine Physician
  • Merrionette Park, IL
National Provider Identifier
1275676553
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036100552 Issued in IL
Legal business name
HARMONY HEALTH PARTNERS, SC
Practice address
11600 S Kedzie Ave
Suite D
Merrionette Park, IL 60803-6302
Phone
(708) 389-2200
Fax
(708) 389-2211
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. Dolores Dixon Grevious, M.D
Title
President
Phone
(708) 389-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036100552 IL Primary

Addresses

Primary practice location

11600 S Kedzie Ave
Suite D
Merrionette Park, IL 60803-6302

Mailing address

PO Box 587936
Alsip, IL 60803-7936
Phone (708) 389-2200

Other identifiers 1

IdentifierTypeStateIssuer
036100552MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1275676553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587936",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608037936",
            "telephone_number": "708-389-2200",
            "fax_number": "708-389-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 S KEDZIE AVE",
            "address_2": "SUITE D",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608036302",
            "telephone_number": "708-389-2200",
            "fax_number": "708-389-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HEALTH PARTNERS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "DIXON GREVIOUS",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-389-2200",
        "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": "036100552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100552",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrionette Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.