Organization Active NPI

Star Health SC

  • Internal Medicine Physician
  • Lombard, IL
National Provider Identifier
1548832637
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STAR HEALTH SC
Practice address
1S072 Luther Ave
Lombard, IL 60148-4164
Phone
(872) 888-2444
NPI assigned
Jul 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Shahaab Uddin
Title
President
Phone
(872) 888-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1S072 Luther Ave
Lombard, IL 60148-4164

Mailing address

1S072 Luther Ave
Lombard, IL 60148-4164

National Provider Directory

National Provider Directory

Locations

1S072 Luther Ave
Lombard, IL 60148
Phone (630) 247-8877

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1548832637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S072 LUTHER AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S072 LUTHER AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484164",
            "telephone_number": "872-888-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR HEALTH SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "SHAHAAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "872-888-2444"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.