NPIMap

Organization Active NPI

River Forest Medical Associates

  • Internal Medicine Physician
  • River Forest, IL
National Provider Identifier
1316554835
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RIVER FOREST MEDICAL ASSOCIATES
Practice address
7353 North Ave
River Forest, IL 60305-1278
Phone
(708) 771-6611
Fax
(708) 771-6335
NPI assigned
Sep 29, 2020
Last updated
Sep 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Dr. William Sarantos, MDNPI 1023192671
Title
Doctor in Medicine
Phone
(708) 771-6611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7353 North Ave
River Forest, IL 60305-1278

Mailing address

7353 North Ave
River Forest, IL 60305-1278
Phone (708) 771-6611

Other identifiers 1

IdentifierTypeStateIssuer
036066094OtherILLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Riverforest Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1316554835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7353 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051278",
            "telephone_number": "708-771-6611",
            "fax_number": "708-771-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7353 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051278",
            "telephone_number": "708-771-6611",
            "fax_number": "708-771-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FOREST MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "SARANTOS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DOCTOR IN MEDICINE",
        "authorized_official_telephone_number": "708-771-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036066094",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Riverforest",
            "affiliation": "N",
            "endpointDescription": "faxes",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "RiverForest",
            "address_1": "7353 North Ave",
            "city": "River Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603051278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.