Organization Active NPI

Raymond Narh, MD, SC

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1366657942
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036-106677 Issued in IL
Legal business name
RAYMOND NARH, MD, SC
Practice address
3303 S Halsted St Unit 203
Chicago, IL 60608-6877
Phone
(312) 674-4003
Fax
(312) 674-4013
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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

Authorized official

Name
Dr. Raymond Narh, M.DNPI 1205846300
Title
Owner
Phone
(312) 674-4003

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
Primary Care Clinic/Center 261QP2300X 036-106677 IL Primary

Addresses

Primary practice location

3303 S Halsted St Unit 203
Chicago, IL 60608-6877

Mailing address

PO Box 281
Willow Springs, IL 60480-0281
Phone (708) 288-5024

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070607000247 IL Part B Supplier - Clinic/Group Practice 2062510589 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

3303 S Halsted St
Unit 203
Chicago, IL 60608
Phone (312) 674-4003

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19512/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1366657942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604800281",
            "telephone_number": "708-288-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S HALSTED ST UNIT 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086877",
            "telephone_number": "312-674-4003",
            "fax_number": "312-674-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND NARH, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "NARH",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-674-4003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036-106677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.