Charm Development

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0360385802 Issued in IL

Legal business name

CHARM DEVELOPMENT

Practice address

403 W Lincoln Hwy
Suite 25
Chicago Heights, IL 60411-2479

Phone

(708) 754-8522

Fax

(708) 754-8622

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donald M Pedro, M.D.

Title

Physician

Phone

(708) 754-8522

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Charm Development2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Charm Development LLC

  • Family Medicine Physician
  • Chicago Heights, IL
  • NPI 1164687869
  NPD tax ID

Locations

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700898954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W LINCOLN HWY",
            "address_2": "SUITE 25",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112479",
            "telephone_number": "708-754-8522",
            "fax_number": "708-754-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W LINCOLN HWY",
            "address_2": "SUITE 25",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112479",
            "telephone_number": "708-754-8522",
            "fax_number": "708-754-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEDRO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-754-8522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "0360385802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360385802",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian A Carrabotta, PTA
• Noreen Carter
• Michael Casner, M.D.
• Myrna Cavazos
• Tony K Chan, M.D.
• Charm Development LLC
• Nitet Charo, D.P.M.
• Shweta Chawla, M.D.
• Chicago Heights Dialysis LLC
• Chicago Heights Medical Consultants S.C.

• 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 Aug 22, 2020; 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.