Eastside Healthcare of Chicago Heights Foundation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EASTSIDE HEALTHCARE OF CHICAGO HEIGHTS FOUNDATION

Practice address

1250 Portland Ave
Chicago Heights, IL 60411-2800

Phone

(708) 757-3383

Fax

(708) 757-3386

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert C Watkins Jr, MD

Title

President

Phone

(708) 757-3383

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jody W Reed Sr., M.D.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1043254840
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1679684716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PORTLAND AVE",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112800",
            "telephone_number": "708-757-3383",
            "fax_number": "708-757-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PORTLAND AVE",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112800",
            "telephone_number": "708-757-3383",
            "fax_number": "708-757-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE HEALTHCARE OF CHICAGO HEIGHTS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "WATKINS JR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-757-3383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Drinski, DMD
• Lindsay Dubnicek, PA-C
• Michelle Dunigan
• Taylor GM Durling
• Tiana Easton, RBT
• Easy Travel Transportation Inc
• Eden Development Network
• Evelyn Addie Edmond
• Elite Houses of Sober Living,Inc.
• Elite Treatment Center

• Family Medicine Physician in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.