Active NPI
Cesar M Puray, M.D.
- Pediatrics Physician
- Flossmoor, IL
National Provider Identifier
1477607422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036-052610
- Practice address
- 1835 Dixie Hwy Ste 104
Flossmoor, IL 60422-1989 - Phone
- (708) 799-0990
- Fax
- (708) 799-0991
- NPI assigned
- Jan 23, 2007
- Last updated
- Aug 26, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-052610 | IL | Primary |
Addresses
Primary practice location
1835 Dixie Hwy Ste 104
Flossmoor, IL 60422-1989
Mailing address
1835 Dixie Hwy Ste 104
Flossmoor, IL 60422-1989
Phone (708) 799-0990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-052610 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1477607422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 DIXIE HWY STE 104",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604221989",
"telephone_number": "708-799-0990",
"fax_number": "708-799-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 DIXIE HWY STE 104",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604221989",
"telephone_number": "708-799-0990",
"fax_number": "708-799-0991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURAY",
"first_name": "CESAR",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-052610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flossmoor, IL
- Priority Home Health Services, Inc.
- Proactive Community Services
- Tracey L Proby
- Rachel Lynn Proud, MT
- Puray Medical Associates, LTD
- Milagros Puray, M.D.
- R.a. Berquist, D.D.S., P.C.
- Akbar Rahmani, M.D.
- Solmaz Rahmani, DO
- Rebecca Testa Pediatric Dental Specialist PLLC (Rebecca Testa Pediatric Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.