Organization Active NPI

The Arlington Medical Group, Inc.

  • Clinic/Center
  • Arlington HTS, IL
National Provider Identifier
1609018720
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE ARLINGTON MEDICAL GROUP, INC.
Practice address
1925 E Rand Rd
Arlington HTS, IL 60004-4366
Phone
(847) 253-3300
Fax
(847) 398-6508
NPI assigned
Apr 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Christ Koulis
Title
Practice Administrator
Phone
(312) 371-2140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1925 E Rand Rd
Arlington HTS, IL 60004-4366

Mailing address

1925 E Rand Rd
Arlington HTS, IL 60004-4366
Phone (847) 253-3300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1609018720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E RAND RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600044366",
            "telephone_number": "847-253-3300",
            "fax_number": "847-398-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E RAND RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600044366",
            "telephone_number": "847-253-3300",
            "fax_number": "847-398-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARLINGTON MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "KOULIS",
        "authorized_official_first_name": "CHRIST",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "312-371-2140"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.