Active NPI
Tim Heilizer SC Corp
- Colon & Rectal Surgery Physician
- Chicago, IL
National Provider Identifier
1316278088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- Legal business name
- TIM HEILIZER SC CORP
- Practice address
- 2338 W North Ave
Chicago, IL 60647-6541 - Phone
- (773) 227-5914
- NPI assigned
- Jan 20, 2010
- 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
- James Noble
- Title
- Revenue Manager
- Phone
- (630) 424-1122
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Colon & Rectal Surgery Physician | 208C00000X | Primary |
Addresses
Primary practice location
2338 W North Ave
Chicago, IL 60647-6541
Mailing address
1S376 Summit Ave Ste 4C
Oakbrook Terrace, IL 60181-3966
Phone (630) 424-1122
Other names 1
- Remegio M Vilbar MD SC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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.
-
- Surgery Physician
- Chicago, IL
- NPI 1245347996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637020800000",
"number": "1316278088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1S376 SUMMIT AVE STE 4C",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601813966",
"telephone_number": "630-424-1122",
"fax_number": "630-324-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2338 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606476541",
"telephone_number": "773-227-5914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIM HEILIZER SC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-20",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A",
"authorized_official_last_name": "NOBLE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "REVENUE MANAGER",
"authorized_official_telephone_number": "630-424-1122"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Remegio M Vilbar MD SC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.