Telemed Concepts

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TELEMED CONCEPTS

Doing business as

Telemed Concepts

Practice address

12717 Grande Poplar Cir
Plainfield, IL 60585-2814

Phone

(224) 402-3091

NPI assigned

Oct 14, 2021

Last updated

Mar 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mansoor Sulemanjee

Title

Owner

Phone

(224) 402-3091

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Telemed Concepts Doing business as

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1366105645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12717 GRANDE POPLAR CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852814",
            "telephone_number": "224-402-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12717 GRANDE POPLAR CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852814",
            "telephone_number": "224-402-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEMED CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2022-03-07",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "SULEMANJEE",
        "authorized_official_first_name": "MANSOOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-402-3091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S455-5597-8212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telemed Concepts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Telemed Concepts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.