Organization Active NPI

Henry G. Conroe, M.D., S.C.

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1528331105
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
036048944 Issued in IL
Legal business name
HENRY G. CONROE, M.D., S.C.
Practice address
25 East Washington
Suite #1006
Chicago, IL 60602
Phone
(312) 782-2335
Fax
(847) 866-7792
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. Henry G. Conroe, MD
Title
President
Phone
(312) 782-2335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 036048944 IL Primary

Addresses

Primary practice location

25 East Washington
Suite #1006
Chicago, IL 60602

Mailing address

25 East Washington St.
Suite #1006
Chicago, IL 60602
Phone (312) 782-2335

National Provider Directory

National Provider Directory

Locations

25 E Washington St
Ste 1006
Chicago, IL 60602
Phone (312) 782-2335

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1528331105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 EAST WASHINGTON ST.",
            "address_2": "SUITE #1006",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "312-782-2335",
            "fax_number": "847-866-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EAST WASHINGTON",
            "address_2": "SUITE #1006",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "312-782-2335",
            "fax_number": "847-866-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY G. CONROE, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "CONROE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-782-2335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "036048944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.