Active NPI
Quality Life Physician Care, S.C.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Skokie, IL
National Provider Identifier
1396950002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- QUALITY LIFE PHYSICIAN CARE, S.C.
- Practice address
- 7933 Lincoln Ave
Skokie, IL 60077-3632 - Phone
- (847) 933-1199
- Fax
- (847) 933-0099
- NPI assigned
- May 14, 2007
- Last updated
- Jan 18, 2008
- 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
- Peyman Pahlavan, M.D.
- Title
- President
- Phone
- (312) 371-9325
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | IL | Primary |
Addresses
Primary practice location
7933 Lincoln Ave
Skokie, IL 60077-3632
Mailing address
7933 Lincoln Ave
Skokie, IL 60077-3632
Phone (847) 933-1199
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Melrose Park, IL
- NPI 1063450757
-
- Internal Medicine Physician
- Hammond, IN
- NPI 1467504894
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": "1200614400000",
"number": "1396950002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7933 LINCOLN AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773632",
"telephone_number": "847-933-1199",
"fax_number": "847-933-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7933 LINCOLN AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773632",
"telephone_number": "847-933-1199",
"fax_number": "847-933-0099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY LIFE PHYSICIAN CARE, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2008-01-18",
"status": "A",
"authorized_official_last_name": "PAHLAVAN",
"authorized_official_first_name": "PEYMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-371-9325",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.