Organization Active NPI

Signature Healthcare Solutions,SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1477664639
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036101003 Issued in IL
Legal business name
SIGNATURE HEALTHCARE SOLUTIONS,SC
Practice address
47 W Division St Ste 269
Chicago, IL 60610-2339
Phone
(708) 479-6522
Fax
(708) 479-6597
NPI assigned
Aug 31, 2006
Last updated
Aug 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Sujith Sundararaj, MDNPI 1982799979
Title
President
Phone
(708) 479-6522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036101003 IL Primary

Addresses

Primary practice location

47 W Division St Ste 269
Chicago, IL 60610-2339

Mailing address

47 W Division St Ste 269
Chicago, IL 60610-2339
Phone (708) 479-6522

Other identifiers 1

IdentifierTypeStateIssuer
036101003MedicaidIL

National Provider Directory

National Provider Directory

Locations

1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100

Practitioners & affiliated clinicians

Practitioners 8

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1477664639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 W DIVISION ST STE 269",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102339",
            "telephone_number": "708-479-6522",
            "fax_number": "708-479-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W DIVISION ST STE 269",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102339",
            "telephone_number": "708-479-6522",
            "fax_number": "708-479-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HEALTHCARE SOLUTIONS,SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "SUNDARARAJ",
        "authorized_official_first_name": "SUJITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-479-6522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036101003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.