Renal Consultants LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036135417 Issued in IL

Legal business name

RENAL CONSULTANTS LLC

Practice address

1865 N Neltnor Blvd
Suite C
West Chicago, IL 60185-5900

Phone

(630) 876-9000

Fax

(630) 242-8450

NPI assigned

Sep 15, 2014

Organization subpart

No

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

Authorized official

Name

Moqueet Syed

Title

Manager

Phone

(630) 440-7786

Specialties & licenses 2

Addresses

Other names 1

• DUPAGE MEDICAL CARE Doing business as

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AAADCA

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1588065189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 N NELTNOR BLVD",
            "address_2": "SUITE C",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855900",
            "telephone_number": "630-876-9000",
            "fax_number": "630-242-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 N NELTNOR BLVD",
            "address_2": "SUITE C",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855900",
            "telephone_number": "630-876-9000",
            "fax_number": "630-242-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MOQUEET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-440-7786"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036135417",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036135417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUPAGE MEDICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in West Chicago, IL
• Providers in West Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.