Active NPI
Upward Health of Illinois PC
- General Practice Physician
- Chicago, IL
National Provider Identifier
1376358895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- UPWARD HEALTH OF ILLINOIS PC
- Practice address
- 208 S la Salle St Ste 814
Chicago, IL 60604-1101 - Phone
- (833) 342-1454
- NPI assigned
- Feb 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Mihale, MD
- Title
- Owner
- Phone
- (631) 540-8225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
208 S la Salle St Ste 814
Chicago, IL 60604-1101
Mailing address
80 Arkay Dr Ste 230
Hauppauge, NY 11788-3705
Phone (833) 342-1454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1739232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741305600000",
"number": "1376358895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 ARKAY DR STE 230",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883705",
"telephone_number": "833-342-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 S LA SALLE ST STE 814",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606041101",
"telephone_number": "833-342-1454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPWARD HEALTH OF ILLINOIS PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-11",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A",
"authorized_official_last_name": "MIHALE",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-540-8225",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"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 Mar 7, 2025; 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.