Organization Active NPI

Consultants of Internal Medicine LTD

  • Pulmonary Disease Physician
  • Sycamore, IL
National Provider Identifier
1497763486
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CONSULTANTS OF INTERNAL MEDICINE LTD
Practice address
1711 Dekalb Avenue
Suite C4
Sycamore, IL 60178
Phone
(815) 895-0555
Fax
(815) 895-7555
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Dr. Sheh-Weng Chang
Title
Owner
Phone
(815) 895-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X IL Primary

Addresses

Primary practice location

1711 Dekalb Avenue
Suite C4
Sycamore, IL 60178

Mailing address

PO Box 117
Sycamore, IL 60178-0117
Phone (815) 895-0555

National Provider Directory

National Provider Directory

Locations

1711 DeKalb Ave
Ste C4
Sycamore, IL 60178

Practitioners & affiliated clinicians

Practitioners 1

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1497763486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601780117",
            "telephone_number": "815-895-0555",
            "fax_number": "815-895-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 DEKALB AVENUE",
            "address_2": "SUITE C4",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60178",
            "telephone_number": "815-895-0555",
            "fax_number": "815-895-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS OF INTERNAL MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SHEH-WENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-895-0555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.