Active NPI
Behrooz Eshaghy, M.D.
- Cardiovascular Disease Physician
- Melrose Park, IL
National Provider Identifier
1306811096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036046897
- Practice address
- 1111 Superior St
Suite 303
Melrose Park, IL 60160-4138 - Phone
- (708) 343-5555
- Fax
- (708) 343-5548
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036046897 | IL | Primary |
Addresses
Primary practice location
1111 Superior St
Suite 303
Melrose Park, IL 60160-4138
Mailing address
PO Box 64568
Phoenix, AZ 85082-4568
Phone (630) 288-6237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036046897 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1306811096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64568",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850824568",
"telephone_number": "630-288-6237",
"fax_number": "855-781-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 SUPERIOR ST",
"address_2": "SUITE 303",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601604138",
"telephone_number": "708-343-5555",
"fax_number": "708-343-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESHAGHY",
"first_name": "BEHROOZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036046897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036046897",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melrose Park, IL
- Elmhurst Memorial Affiliated Primary Care Physicians, LLC
- Encompass Physicians LLC
- Bryan David Erce, D.M.D.
- Brian Patrick Ervin, PT, DPT
- Jaime Ricardo Escobar, MD
- Onyinyechi Kelechukwu Esonu, DMD
- Tomas A Estacio, PT
- Peter Evelio Eupierre, M.D.
- Evan J. Samett M.D.S.C.
- Francis John Robles Evangelista, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.