Active NPI
RJM Pathology Consultants LTD
- Clinical Pathology/Laboratory Medicine Physician
- Melrose Park, IL
National Provider Identifier
1427061936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- Legal business name
- RJM PATHOLOGY CONSULTANTS LTD
- Practice address
- 701 W North Ave
Melrose Park, IL 60160-1612 - Phone
- (877) 861-9294
- NPI assigned
- Aug 14, 2006
- Last updated
- May 12, 2011
- 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
- Robert Shermer, MD
- Title
- President
- Phone
- (877) 861-9294
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | NU | Primary |
Addresses
Primary practice location
701 W North Ave
Melrose Park, IL 60160-1612
Mailing address
701 W North Ave
Melrose Park, IL 60160-1612
Phone (877) 861-9294
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH5611 | Other | IL | PALMETTO GBA |
| 01623819 | Other | IL | BLUE SHIELD ILLINOIS |
National Provider Directory
National Provider DirectoryLocations
34520 Eagle Way
Chicago, IL 60678
Practitioners & affiliated clinicians
Practitioners 3
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.
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-
- Family Medicine Physician
- Crystal Lake, IL
- NPI 1871570978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305158400000",
"number": "1427061936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W NORTH AVE",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601612",
"telephone_number": "877-861-9294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W NORTH AVE",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601612",
"telephone_number": "877-861-9294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RJM PATHOLOGY CONSULTANTS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2011-05-12",
"status": "A",
"authorized_official_last_name": "SHERMER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "877-861-9294",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "CH5611",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD ILLINOIS",
"identifier": "01623819",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.