Active NPI
Tejasi Gholap MD SC
- Pediatrics Physician
- Elgin, IL
National Provider Identifier
1568878221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036125306
- Legal business name
- TEJASI GHOLAP MD SC
- Practice address
- 901 Center St
Suite 209
Elgin, IL 60120-2104 - Phone
- (847) 429-1157
- NPI assigned
- Jul 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tejasi Gholap, MD
- Title
- Owner
- Phone
- (414) 736-7583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036125306 | IL | Primary |
Addresses
Primary practice location
901 Center St
Suite 209
Elgin, IL 60120-2104
Mailing address
2350 County Farm LN
Schaumburg, IL 60194-4807
Phone (414) 736-7583
National Provider Directory
National Provider DirectoryLocations
901 Center St
Ste 209
Elgin, IL 60120
Phone (847) 289-9146
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1427073352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404259200000",
"number": "1568878221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 COUNTY FARM LN",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601944807",
"telephone_number": "414-736-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CENTER ST",
"address_2": "SUITE 209",
"city": "ELGIN",
"state": "IL",
"postal_code": "601202104",
"telephone_number": "847-429-1157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEJASI GHOLAP MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-02",
"status": "A",
"authorized_official_last_name": "GHOLAP",
"authorized_official_first_name": "TEJASI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-736-7583",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "IL",
"license": "036125306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.