River Forest Medical Assoc Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036066094 Issued in IL

Legal business name

RIVER FOREST MEDICAL ASSOC INC

Practice address

7353 North Ave
River Forest, IL 60305-1278

Phone

(708) 867-6087

Fax

(708) 867-6032

NPI assigned

May 8, 2007

Last updated

May 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William J Sarantos, M.D.NPI 1023192671

Title

President

Phone

(708) 867-6087

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• WILLIAM J SARANTOS,MD Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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.

• William J Sarantos, M.D.

  • Internal Medicine Physician
  • River Forest, IL
  • NPI 1023192671
  Medicare reassignment NPD Authorized official
• Perry Rudich, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1699721829
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1477766186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7353 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051278",
            "telephone_number": "708-867-6087",
            "fax_number": "708-867-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7353 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051278",
            "telephone_number": "708-867-6087",
            "fax_number": "708-867-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FOREST MEDICAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "SARANTOS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-867-6087",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036066094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID #",
            "identifier": "0031601446",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036066094",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ( PERSONAL)",
            "identifier": "1023192671",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLIAM J SARANTOS,MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eva Reynoso, LCSW
• Jamie Rini
• Sappho Risner, NCSP
• River Forest Dental Studio
• River Forest Health and Wellness Inc
• River Forest Medical Associates
• River Forest Public School District 90
• River Forest Surgery Center LLC
• River Forest Surgery Center LLC
• River Grove Medical Partners, LTD

• Internal Medicine Physician in River Forest, IL
• Providers in River Forest, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.