Cams-Orbisun Community Health

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CAMS-ORBISUN COMMUNITY HEALTH

Practice address

380 E Northwest Hwy Ste 200
Des Plaines, IL 60016-2274

Phone

(847) 813-0700

Fax

(847) 813-0797

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Tamara Petrov

Title

General Manager

Phone

(847) 813-0700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1366055774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY STE 200",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162274",
            "telephone_number": "847-813-0700",
            "fax_number": "847-813-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY STE 200",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162274",
            "telephone_number": "847-813-0700",
            "fax_number": "847-813-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMS-ORBISUN COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "PETROV",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "847-813-0700"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.