Organization Active NPI

Raja K Saleem MD SC

  • Family Medicine Physician
  • Morris, IL
National Provider Identifier
1487992467
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036118250 Issued in IL
Legal business name
RAJA K SALEEM MD SC
Practice address
948 W US Route 6
Morris, IL 60450-8858
Phone
(815) 942-5474
Fax
(815) 942-5498
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Raja K Saleem, MD
Title
President
Phone
(815) 942-5474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036118250 IL Primary

Addresses

Primary practice location

948 W US Route 6
Morris, IL 60450-8858

Mailing address

948 W US Route 6
Morris, IL 60450-8858
Phone (815) 942-5474

National Provider Directory

National Provider Directory

Locations

1345 Edwards St
Ste 2
Morris, IL 60450
Phone (815) 705-1000

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1487992467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 W US ROUTE 6",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604508858",
            "telephone_number": "815-942-5474",
            "fax_number": "815-942-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 W US ROUTE 6",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604508858",
            "telephone_number": "815-942-5474",
            "fax_number": "815-942-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJA K SALEEM MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "SALEEM",
        "authorized_official_first_name": "RAJA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-942-5474",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036118250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.