NPIMap

Organization Active NPI

Rajiv Puri, Prof. Corp.

  • Preferred Provider Organization
  • Villa Park, IL
National Provider Identifier
1427224245
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
019026692 Issued in IL
Legal business name
RAJIV PURI, PROF. CORP.
Practice address
626 N Addison Rd
Villa Park, IL 60181-1419
Phone
(630) 359-0105
NPI assigned
May 1, 2008
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Rajiv Puri
Title
Owner
Phone
(847) 507-1361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 019026692 IL Primary

Addresses

Primary practice location

626 N Addison Rd
Villa Park, IL 60181-1419

Mailing address

626 N Addison Rd
Villa Park, IL 60181-1419

National Provider Directory

National Provider Directory

Locations

849 S Sutton Rd
Bartlett, IL 60103
Phone (331) 241-6266

626 N Addison Rd
Villa Park, IL 60181
Phone (630) 359-0105

150 E Irving Park Rd
Wood Dale, IL 60191
Phone (630) 616-1020

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1427224245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 N ADDISON RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N ADDISON RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811419",
            "telephone_number": "630-359-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJIV PURI, PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-507-1361"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "019026692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.