Active NPI
Coropa, Inc
Doing business as Coropa Medical Group
- Physician Assistant
- Glenview, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085-005679
- Legal business name
- COROPA, INC
- Doing business as
- Coropa Medical Group
- Practice address
- 195 Waukegan Rd
Suite 371
Glenview, IL 60025-5137 - Phone
- (312) 771-9908
- NPI assigned
- Jun 14, 2016
- Last updated
- Jun 14, 2016
- 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
- Carmela Sanchez, PA-C
- Title
- Medical Director
- Phone
- (312) 771-9908
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-005679 | IL | Primary |
Addresses
Primary practice location
195 Waukegan Rd
Suite 371
Glenview, IL 60025-5137
Mailing address
195 Waukegan Rd
Suite 371
Glenview, IL 60025-5137
Phone (312) 771-9908
Other names 1
- Coropa Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
205 E Park St
Mundelein, IL 60060
Phone (312) 771-9908
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Glenview, IL
- NPI 1386014629
-
- Clinical Social Worker
- Chicago, IL
- NPI 1801355540
-
- Physician Assistant
- Chicago, IL
- NPI 1891110730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465862400000",
"number": "1396195947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 WAUKEGAN RD",
"address_2": "SUITE 371",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600255137",
"telephone_number": "312-771-9908",
"fax_number": "312-585-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 WAUKEGAN RD",
"address_2": "SUITE 371",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600255137",
"telephone_number": "312-771-9908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COROPA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-14",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "CARMELA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "312-771-9908",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-005679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coropa Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.