Organization Active NPI

Peak Performance Health Center LTD

  • Non-Pharmacy Dispensing Site
  • Chicago, IL
National Provider Identifier
1669748018
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PEAK PERFORMANCE HEALTH CENTER LTD
Practice address
1749 N Wells St
Chicago, IL 60614-5877
Phone
(312) 440-9646
NPI assigned
Mar 30, 2012
Organization subpart
Yes
Parent organization
PEAK PERFORMANCE HEALTH CARE, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Dr. Ronald S. Stumbris, MD
Title
Medical Director
Phone
(312) 440-9646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1749 N Wells St
Chicago, IL 60614-5877

Mailing address

1749 N Wells St
Chicago, IL 60614-5877
Phone (312) 420-2513

National Provider Directory

National Provider Directory
Part of
Peak Performance Health Center LTD

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": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1669748018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145877",
            "telephone_number": "312-420-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145877",
            "telephone_number": "312-440-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE HEALTH CENTER LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAK PERFORMANCE HEALTH CARE, LTD",
        "enumeration_date": "2012-03-30",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "STUMBRIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-440-9646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "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 Nov 14, 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.

Verify at the official NPI Registry.