Active NPI
Behrooz Eshaghy, MD, SC
- Cardiovascular Disease Physician
- Melrose Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- BEHROOZ ESHAGHY, MD, SC
- Practice address
- 1111 Superior St
Suite 303
Melrose Park, IL 60160-4138 - Phone
- (708) 343-5555
- Fax
- (708) 343-5555
- NPI assigned
- Feb 17, 2006
- Last updated
- Oct 9, 2019
- 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
- Dr. Behrooz Eshaghy, M.D.
- Title
- Physician Owner
- Phone
- (630) 718-0200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1111 Superior St
Suite 303
Melrose Park, IL 60160-4138
Mailing address
PO Box 64568
Phoenix, AZ 85082-4568
Phone (302) 886-2376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021624852 | Other | IL | BLUE CROSS / BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
1111 Superior St
Ste 303
Melrose Park, IL 60160
Phone (708) 343-5555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Melrose Park, IL
- NPI 1306811096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570579200000",
"number": "1619942307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64568",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850824568",
"telephone_number": "302-886-2376",
"fax_number": "855-781-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 SUPERIOR ST",
"address_2": "SUITE 303",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601604138",
"telephone_number": "708-343-5555",
"fax_number": "708-343-5555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHROOZ ESHAGHY, MD, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2019-10-09",
"status": "A",
"authorized_official_last_name": "ESHAGHY",
"authorized_official_first_name": "BEHROOZ",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "630-718-0200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "0021624852",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.