Teodoro a Alvia MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036049412 Issued in IL

Legal business name

TEODORO A ALVIA MD SC

Practice address

990 Grand Canyon Pkwy Ste 415
Hoffman Estates, IL 60169-1731

Phone

(847) 519-0500

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Teodoro A Alvia

Title

Physician

Phone

(847) 519-0500

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1376730473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 GRAND CANYON PKWY STE 415",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 GRAND CANYON PKWY STE 415",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691731",
            "telephone_number": "847-519-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEODORO A ALVIA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "ALVIA",
        "authorized_official_first_name": "TEODORO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-519-0500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036049412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01623255",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049412",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DG8903",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Terri S. Watson, Psy.D., L.L.C.
• Kaylie Teschner
• Danielle Tetrault, LPC

• Family Medicine Physician in Hoffman Estates, IL
• Providers in Hoffman Estates, 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 Apr 30, 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.