Active NPI
John C Engstrom, OD, LTD
- Optometrist
- Rolling Meadows, IL
National Provider Identifier
1427063874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- JOHN C ENGSTROM, OD, LTD
- Practice address
- 3487 Kirchoff Rd
Rolling Meadows, IL 60008-1842 - Phone
- (847) 255-6075
- Fax
- (847) 255-0880
- NPI assigned
- Jul 31, 2006
- 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
- Dr. John C Engstrom, O.D.
- Title
- President/Secretary
- Phone
- (847) 255-6075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3487 Kirchoff Rd
Rolling Meadows, IL 60008-1842
Mailing address
3487 Kirchoff Rd
Rolling Meadows, IL 60008-1842
Phone (847) 255-6075
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.
-
- Internal Medicine Physician
- Rolling Meadows, IL
- NPI 1164455507
-
- Medical Physician Assistant
- Rolling Meadows, IL
- NPI 1124820956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1427063874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3487 KIRCHOFF RD",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600081842",
"telephone_number": "847-255-6075",
"fax_number": "847-255-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3487 KIRCHOFF RD",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600081842",
"telephone_number": "847-255-6075",
"fax_number": "847-255-0880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C ENGSTROM, OD, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "ENGSTROM",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/SECRETARY",
"authorized_official_telephone_number": "847-255-6075",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolling Meadows, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.