Active NPI
Karen A Altay, M.D.
- Gynecology Physician
- Bloomingdale, IL
National Provider Identifier
1518097120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 036-061735
- Practice address
- 471 W Army Trail Rd
Suite 105
Bloomingdale, IL 60108-2673 - Phone
- (630) 893-0900
- Fax
- (630) 893-0922
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 036-061735 | IL | Primary |
Addresses
Primary practice location
471 W Army Trail Rd
Suite 105
Bloomingdale, IL 60108-2673
Mailing address
471 W Army Trail Rd
Suite 105
Bloomingdale, IL 60108-2673
Phone (630) 893-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-061735 | IL | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518097120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 W ARMY TRAIL RD",
"address_2": "SUITE 105",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082673",
"telephone_number": "630-893-0900",
"fax_number": "630-893-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 W ARMY TRAIL RD",
"address_2": "SUITE 105",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082673",
"telephone_number": "630-893-0900",
"fax_number": "630-893-0922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTAY",
"first_name": "KAREN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "036-061735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
- Rasha I. Ali, MD
- Charity Ursua Alikpala, D.O.
- All Bear Cub Pediatrics, S.C.
- Gary L Alore, RPH
- Raeda Alshantti, MD
- Alternacare Home Health S.C.
- Amer & Associates SC
- Emad Mohammed Amer, MD
- American Current Care of Illinois PC (Concentra Urgent Care)
- American Current Care of Illinois PC (Concentra Immediate Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.