NPIMap

Organization Active NPI

Darien Immediate Care LTD

  • Internal Medicine Physician
  • Darien, IL
National Provider Identifier
1457788648
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DARIEN IMMEDIATE CARE LTD
Practice address
8190 S Cass Ave
Darien, IL 60561-5013
Phone
(630) 952-1412
NPI assigned
Oct 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Dr. Maninder Kohli, M.DNPI 1851390348
Title
President
Phone
(630) 952-1412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8190 S Cass Ave
Darien, IL 60561-5013

Mailing address

8190 S Cass Ave
Darien, IL 60561-5013
Phone (630) 952-1412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151119000809 IL Part B Supplier - Clinic/Group Practice 3072813260 Receives reassigned benefits from 11 practitioners
Practice locations: Darien, IL

National Provider Directory

National Provider Directory

Locations

8190 Cass Ave
Darien, IL 60561
Phone (630) 333-0501

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1457788648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 S CASS AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615013",
            "telephone_number": "630-952-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 S CASS AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615013",
            "telephone_number": "630-952-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIEN IMMEDIATE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "MANINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-952-1412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.