NPIMap

Organization Active NPI

Central Medical Associates, S.C.

  • Internal Medicine Physician
  • Mount Prospect, IL
National Provider Identifier
1346460292
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036082737 Issued in IL
Legal business name
CENTRAL MEDICAL ASSOCIATES, S.C.
Practice address
500 W Central Rd
Suite 106
Mt Prospect, IL 60056-2347
Phone
(847) 259-3383
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Elizabeth Carazo, M.D.NPI 1922140300
Title
Medical Director
Phone
(847) 259-3383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036082737 IL Primary

Addresses

Primary practice location

500 W Central Rd
Suite 106
Mt Prospect, IL 60056-2347

Mailing address

500 W Central Rd
Suite 106
Mt Prospect, IL 60056-2347
Phone (847) 259-3383

Other identifiers 1

IdentifierTypeStateIssuer
0002207312OtherILBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1346460292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD",
            "address_2": "SUITE 106",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562347",
            "telephone_number": "847-259-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD",
            "address_2": "SUITE 106",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562347",
            "telephone_number": "847-259-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MEDICAL ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "CARAZO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-259-3383",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036082737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0002207312",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.