Organization Active NPI

Health Care Delivery Systems

  • Cardiovascular Disease Physician
  • Joliet, IL
National Provider Identifier
1366501835
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
042-002655 Issued in IL
Legal business name
HEALTH CARE DELIVERY SYSTEMS
Practice address
1301 Copperfield Avenue
Suite 202
Joliet, IL 60432
Phone
(815) 722-8106
Fax
(815) 722-8124
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. Mohammad A Toor, MDNPI 1841289691
Title
President Owner
Phone
(815) 722-8106

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 042-002655 IL Primary

Addresses

Primary practice location

1301 Copperfield Avenue
Suite 202
Joliet, IL 60432

Mailing address

1301 Copperfield Avenue
Suite 202
Joliet, IL 60432
Phone (815) 722-8106

Other identifiers 1

IdentifierTypeStateIssuer
036050737MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100805000327 IL Part B Supplier - Clinic/Group Practice 5395878755 Receives reassigned benefits from 1 practitioner
Practice locations: New Lenox, IL

National Provider Directory

National Provider Directory

Locations

1301 Copperfield Ave
Ste 202
Joliet, IL 60432
Phone (815) 722-8106

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1366501835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 COPPERFIELD AVENUE",
            "address_2": "SUITE 202",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60432",
            "telephone_number": "815-722-8106",
            "fax_number": "815-722-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COPPERFIELD AVENUE",
            "address_2": "SUITE 202",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60432",
            "telephone_number": "815-722-8106",
            "fax_number": "815-722-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE DELIVERY SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "TOOR",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "815-722-8106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "042-002655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050737",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.

Verify at the official NPI Registry.