Illinois Physician Services LTD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

042619484 Issued in IL

Legal business name

ILLINOIS PHYSICIAN SERVICES LTD

Practice address

534 Chestnut St
Suite 240
Hinsdale, IL 60521-3167

Phone

(312) 880-0085

NPI assigned

May 14, 2009

Organization subpart

No

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

Authorized official

Name

Praveen Khilnani, MD

Title

President

Phone

(312) 880-0085

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1689808933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S PRAIRIE AVE",
            "address_2": "UNIT 1306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 CHESTNUT ST",
            "address_2": "SUITE 240",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213167",
            "telephone_number": "312-880-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS PHYSICIAN SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "KHILNANI",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-880-0085",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "042619484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Hinsdale, IL
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.