Organization Active NPI

Diabetes Osteoporosis Thyroid Endocrine Center LLC

  • Specialist
  • Gurnee, IL
National Provider Identifier
1649301334
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036085078 Issued in IL
Legal business name
DIABETES OSTEOPOROSIS THYROID ENDOCRINE CENTER LLC
Practice address
1425 N Hunt Club Rd Ste 303
Gurnee, IL 60031-2639
Phone
(847) 662-9500
Fax
(847) 662-9551
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Dr. Steven Rabinowe, M.D.
Title
Owner
Phone
(847) 662-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 036085078 IL Primary

Addresses

Primary practice location

1425 N Hunt Club Rd Ste 303
Gurnee, IL 60031-2639

Mailing address

4077 Lighthouse Dr
Racine, WI 53402-3113
Phone (847) 662-9500

National Provider Directory

National Provider Directory

Locations

1425 N Hunt Club Rd
Ste 303
Gurnee, IL 60031
Phone (847) 662-9500

1532 S Green Bay Rd
Ste 300
Mount Pleasant, WI 53406
Phone (262) 619-3473

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1649301334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 LIGHTHOUSE DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534023113",
            "telephone_number": "847-662-9500",
            "fax_number": "847-662-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N HUNT CLUB RD STE 303",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312639",
            "telephone_number": "847-662-9500",
            "fax_number": "847-662-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES OSTEOPOROSIS THYROID ENDOCRINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "RABINOWE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-662-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036085078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.