Active NPI
Park Ridge Multi-Med, S.C.
- Specialist
- Park Ridge, IL
National Provider Identifier
1598832693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PARK RIDGE MULTI-MED, S.C.
- Practice address
- 15 N Prospect Ave
Park Ridge, IL 60068-3563 - Phone
- (847) 998-1414
- NPI assigned
- Nov 30, 2006
- 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
- Keith Berndtson, MD
- Title
- President
- Phone
- (847) 998-1414
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Specialist | 174400000X | Primary | ||
| Family Medicine Physician | 207Q00000X |
Addresses
Primary practice location
15 N Prospect Ave
Park Ridge, IL 60068-3563
Mailing address
1910 Waukegan Rd
Glenview, IL 60025-1714
Phone (847) 998-1414
National Provider Directory
National Provider DirectoryLocations
15 N Prospect Ave
Park Ridge, IL 60068
Phone (847) 232-9800
Interoperability endpoints
- https://api.platform.athenahealth.com/1417/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1598832693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 WAUKEGAN RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600251714",
"telephone_number": "847-998-1414",
"fax_number": "847-998-0934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N PROSPECT AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600683563",
"telephone_number": "847-998-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK RIDGE MULTI-MED, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BERNDTSON",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-998-1414",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
- Park Ridge Dentistry PLLC
- Park Ridge Endodontics
- Park Ridge Healthcare Center LLC
- Park Ridge Healthcare Center LLC
- Park Ridge Lab Inc
- Park Ridge North Suburban Vision Consultants LLC
- Park Ridge Pediatrics PC
- Park Ridge Periodontics, Inc.
- Park Ridge Physical Therapy Clinic PC
- Park Ridge Psychological Services, LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.