Organization Active NPI

Englewood Management Health, S.C.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1629137492
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ENGLEWOOD MANAGEMENT HEALTH, S.C.
Practice address
6508 S Halsted St
Chicago, IL 60621-2616
Phone
(773) 651-1225
Fax
(773) 651-1229
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Dr. Munavvar Izhar, M.D.
Title
Director
Phone
(773) 651-1225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6508 S Halsted St
Chicago, IL 60621-2616

Mailing address

6508 S Halsted St
Chicago, IL 60621-2616
Phone (773) 651-1225

National Provider Directory

National Provider Directory

Locations

6614 S Halsted St
Chicago, IL 60621
Phone (773) 651-1224

6508 S Halsted St
Chicago, IL 60621
Phone (773) 651-1224

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1629137492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212616",
            "telephone_number": "773-651-1225",
            "fax_number": "773-651-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212616",
            "telephone_number": "773-651-1225",
            "fax_number": "773-651-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD MANAGEMENT HEALTH, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "IZHAR",
        "authorized_official_first_name": "MUNAVVAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-651-1225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 30, 2015; 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.