Mourice S Nemri, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036065703 Issued in IL

Practice address

100 Batson CT
Suite 106
New Lenox, IL 60451-1564

Phone

(815) 463-9747

Fax

(815) 463-9749

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mnemri283208@direct.myadvocateaurora.org
• FHIR API: https://fhir4.healow.com/fhir/r4/DCIACA/Endpoint/DCIACA

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1598825366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BATSON CT",
            "address_2": "SUITE 106",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511564",
            "telephone_number": "815-463-9747",
            "fax_number": "815-463-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BATSON CT",
            "address_2": "SUITE 106",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511564",
            "telephone_number": "815-463-9747",
            "fax_number": "815-463-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMRI",
        "first_name": "MOURICE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036065703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "31600943",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065703",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIRr/DSTU2/",
            "affiliation": "N",
            "address_1": "100 Batson Ct",
            "address_2": "Suite 106",
            "city": "New Lenox",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604511564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnemri283208@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 Batson Ct",
            "address_2": "Suite 106",
            "city": "New Lenox",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604511564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pediatrics Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.