Organization Active NPI

Herron Medical Services, S.C.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1376712612
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HERRON MEDICAL SERVICES, S.C.
Practice address
1150 N State St
Chicago, IL 60610-7481
Phone
(312) 337-6072
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Anita Nayak
Title
Administrator
Phone
(312) 337-6072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

1150 N State St
Chicago, IL 60610-7481

Mailing address

1150 N State St
Chicago, IL 60610-7481
Phone (312) 337-6072

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1376712612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107481",
            "telephone_number": "312-337-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107481",
            "telephone_number": "312-337-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRON MEDICAL SERVICES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-337-6072"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "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 Feb 20, 2008; 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.