Active NPI
Romeo Lagrosa, MD
- Family Medicine Physician
- Niles, IL
National Provider Identifier
1316079593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Practice address
- 8965 W Golf Rd
Niles, IL 60714-5812 - Phone
- (847) 795-8600
- Fax
- (847) 795-8602
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
8965 W Golf Rd
Niles, IL 60714-5812
Mailing address
1 Tiffany PT
Suite G-18
Bloomingdale, IL 60108-2936
Phone (630) 980-8410
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036065190 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Doctors Network LLC | Past | Accepting new patients | |
| Omega Community Healthcare Organization Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Chicago, IL
- NPI 1215107552
-
- General Practice Physician
- Bloomingdale, IL
- NPI 1518153600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1316079593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TIFFANY PT",
"address_2": "SUITE G-18",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082936",
"telephone_number": "630-980-8410",
"fax_number": "630-980-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8965 W GOLF RD",
"city": "NILES",
"state": "IL",
"postal_code": "607145812",
"telephone_number": "847-795-8600",
"fax_number": "847-795-8602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGROSA",
"first_name": "ROMEO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.