Active NPI
Metro Chest Professionals LLC
- Pulmonary Disease Physician
- Arlington Heights, IL
National Provider Identifier
1447568779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036076766
- Legal business name
- METRO CHEST PROFESSIONALS LLC
- Practice address
- 1655 N Arlington Heights Rd
Suite 203E
Arlington Heights, IL 60004-3982 - Phone
- (847) 590-1500
- Fax
- (847) 590-1502
- NPI assigned
- Sep 21, 2010
- 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. Clifton Clarke, M.D.
- Title
- Owner
- Phone
- (847) 590-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036076766 | IL | Primary |
Addresses
Primary practice location
1655 N Arlington Heights Rd
Suite 203E
Arlington Heights, IL 60004-3982
Mailing address
PO Box 15416
Chicago, IL 60615-5144
Phone (847) 590-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036076766 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
836 W Wellington Ave
Ste 1302
Chicago, IL 60657
Phone (773) 296-3002
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FADGCA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285027200000",
"number": "1447568779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15416",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606155144",
"telephone_number": "847-590-1500",
"fax_number": "847-590-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 N ARLINGTON HEIGHTS RD",
"address_2": "SUITE 203E",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600043982",
"telephone_number": "847-590-1500",
"fax_number": "847-590-1502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO CHEST PROFESSIONALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-21",
"last_updated": "2010-09-21",
"status": "A",
"authorized_official_last_name": "CLARKE",
"authorized_official_first_name": "CLIFTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-590-1500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036076766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036076766",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.