Tharris Apn LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THARRIS APN LTD

Practice address

2460 S Eola Rd
Aurora, IL 60503-6494

Phone

(630) 585-5600

NPI assigned

Nov 14, 2017

Organization subpart

No

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

Authorized official

Name

Javier Banuelos

Title

Billing/Credential Manager

Phone

(630) 649-3974

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1417460312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S MADISON ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 S EOLA RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036494",
            "telephone_number": "630-585-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THARRIS APN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "BANUELOS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "BILLING/CREDENTIAL MANAGER",
        "authorized_official_telephone_number": "630-649-3974"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.