Organization Active NPI

SJP Comprehensive Medicine Inc

  • Psychiatry Physician
  • Park Ridge, IL
National Provider Identifier
1700358744
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SJP COMPREHENSIVE MEDICINE INC
Doing business as
SJP COMPREHENSIVE MEDICINE INC
Practice address
1580 N Northwest Hwy Ste 305D
Park Ridge, IL 60068-1469
Phone
(847) 420-9506
NPI assigned
Dec 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Authorized official

Name
Mrs. Martha C Hnatiw
Title
Account Manager
Phone
(630) 241-1495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1580 N Northwest Hwy Ste 305D
Park Ridge, IL 60068-1469

Mailing address

1580 N Northwest Hwy Ste 305D
Park Ridge, IL 60068-1469

Other names 1

  • SJP COMPREHENSIVE MEDICINE INC Doing business as

National Provider Directory

National Provider Directory

Locations

1580 N Northwest Hwy
Ste 305D
Park Ridge, IL 60068
Phone (773) 792-3652

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": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1700358744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 305D",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 305D",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681469",
            "telephone_number": "847-420-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJP COMPREHENSIVE MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "HNATIW",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "630-241-1495",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJP COMPREHENSIVE MEDICINE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.