Healthcare Consortium of Illinois

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

HEALTHCARE CONSORTIUM OF ILLINOIS

Practice address

1350 E. Sibley Blvd.
Dolton, IL 60419-2966

Phone

(708) 841-9515

NPI assigned

Feb 19, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Salim Al Nurridin

Title

Ceo

Phone

(708) 841-9515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1629318258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E. SIBLEY BLVD.",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "60419",
            "telephone_number": "708-841-9515",
            "fax_number": "708-841-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E. SIBLEY BLVD.",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192966",
            "telephone_number": "708-841-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE CONSORTIUM OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "AL NURRIDIN",
        "authorized_official_first_name": "SALIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-841-9515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Dolton, IL
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.