Organization Active NPI

Metro Chest Professionals LLC

  • Pulmonary Disease Physician
  • Arlington Heights, IL
National Provider Identifier
1447568779
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036076766 Issued in IL
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

Updated by the provider on Sep 21, 2010

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
036076766MedicaidIL

National Provider Directory

National Provider Directory

Locations

836 W Wellington Ave
Ste 1302
Chicago, IL 60657
Phone (773) 296-3002

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.