Active NPI
Hfe79 Inc
- Gerontology Nurse Practitioner
- Chicago, IL
National Provider Identifier
1407584915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- HFE79 INC
- Practice address
- 7531 S Stony Island Ave Ste 164
Chicago, IL 60649-3954 - Phone
- (773) 947-7689
- NPI assigned
- Aug 11, 2022
- Last updated
- Aug 11, 2022
- 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
- Tammy Dobbin, APRN
- Title
- Owner
- Phone
- (773) 947-7689
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
7531 S Stony Island Ave Ste 164
Chicago, IL 60649-3954
Mailing address
7220 W 83Rd St
Bridgeview, IL 60455-1981
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, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660176000000",
"number": "1407584915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7220 W 83RD ST",
"city": "BRIDGEVIEW",
"state": "IL",
"postal_code": "604551981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7531 S STONY ISLAND AVE STE 164",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606493954",
"telephone_number": "773-947-7689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HFE79 INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A",
"authorized_official_last_name": "DOBBIN",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-947-7689",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"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 Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.