Central Illinois Rheumatology PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

CENTRAL ILLINOIS RHEUMATOLOGY PLLC

Practice address

11003 N Tuscany Ridge CT
Dunlap, IL 61525-7518

Phone

(562) 552-7404

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Hani Habal, MDNPI 1912101684

Title

Owner

Phone

(562) 552-7404

Specialties & licenses 1

Addresses

Practitioners 1

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

• Hani Habal, M.D.

  • Rheumatology Physician
  • Peoria, IL
  • NPI 1912101684
  NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1710701701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 N TUSCANY RIDGE CT",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615257518",
            "telephone_number": "562-552-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 N TUSCANY RIDGE CT",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615257518",
            "telephone_number": "562-552-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS RHEUMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "HABAL",
        "authorized_official_first_name": "HANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-552-7404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Anne Bauer, OT
• Bethany Vanne Counseling, PLLC
• Bohannan Medical Dist., LLC
• Tommy Bohannan
• Carrie Cafferty, RPH.
• Elizabeth Georgeanne Dennis
• Abani Dhewajoo, LCSW
• Ryan Jacob Dillard, MD
• George M. Duncan, DDS
• Dunlap School District 323

• Rheumatology Physician in Dunlap, IL
• Providers in Dunlap, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.