Chicago Heights Medical Consultants S.C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036046854 Issued in IL

Legal business name

CHICAGO HEIGHTS MEDICAL CONSULTANTS S.C.

Practice address

1423 Chicago Rd
Chicago Heights, IL 60411-3400

Phone

(708) 799-8440

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Bampen Charo, MD

Title

Physician

Phone

(708) 756-1000

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1508067471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463750975",
            "telephone_number": "708-756-1000",
            "fax_number": "708-756-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CHICAGO RD",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113400",
            "telephone_number": "708-799-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO HEIGHTS MEDICAL CONSULTANTS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "CHARO",
        "authorized_official_first_name": "BAMPEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-756-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036046854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01616205",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046854",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010025527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charm Development
• Charm Development LLC
• Nitet Charo, D.P.M.
• Shweta Chawla, M.D.
• Chicago Heights Dialysis LLC (Chicago Heights Dialysis)
• Chicago Heights Pain Center, P.C.
• Chicago Heights School District 170
• Chicago Heights SLF, LLC (Prairie Green at Dixie Crossing)
• Chicago Vamc
• Yang K Chun, M.D.

• Pulmonary Disease Physician in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.