Firsthand Health of Illinois, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FIRSTHAND HEALTH OF ILLINOIS, P.C.

Practice address

33 S Aberdeen St Apt 209
Chicago, IL 60607-3763

Phone

(844) 378-4263

Fax

(855) 384-1969

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Joseph J Parks, MD

Title

Chief Medical Director

Phone

(844) 378-4263

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1578244307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 BROADWAY FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124471",
            "telephone_number": "844-378-4263",
            "fax_number": "855-384-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S ABERDEEN ST APT 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073763",
            "telephone_number": "844-378-4263",
            "fax_number": "855-384-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTHAND HEALTH OF ILLINOIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "844-378-4263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Chicago, IL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.