NPIMap

Organization Active NPI

Royalty Intervention Group, Inc

  • General Practice Physician
  • Chicago, IL
National Provider Identifier
1609316389
Registry record updated Feb 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ROYALTY INTERVENTION GROUP, INC
Practice address
2215 W 95TH St
1 East
Chicago, IL 60643-1001
Phone
(773) 779-8260
Fax
(773) 779-8261
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2018

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

Authorized official

Name
Ms. Angela J RatcliffeNPI 1740759612
Title
Chief Executive Officer
Phone
(773) 779-8260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

2215 W 95TH St
1 East
Chicago, IL 60643-1001

Mailing address

2215 W 95TH St
1 East
Chicago, IL 60643-1001
Phone (773) 239-9600

Other identifiers 1

IdentifierTypeStateIssuer
1609316389MedicaidIL

National Provider Directory

National Provider Directory

Locations

2215 W 95th St
#1E
Chicago, IL 60643
Phone (773) 779-8260

2215 W 95th St
Ste 1
Chicago, IL 60643
Phone (773) 239-9600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518825600000",
    "number": "1609316389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 W 95TH ST",
            "address_2": "1 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431001",
            "telephone_number": "773-239-9600",
            "fax_number": "773-239-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 W 95TH ST",
            "address_2": "1 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431001",
            "telephone_number": "773-779-8260",
            "fax_number": "773-779-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTY INTERVENTION GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2018-02-17",
        "status": "A",
        "authorized_official_last_name": "RATCLIFFE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "773-779-8260",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609316389",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; 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.