NPIMap

Organization Active NPI

Sigma Health PC

  • Neurology Physician
  • Orland Park, IL
National Provider Identifier
1720035843
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SIGMA HEALTH PC
Practice address
10640 W 165TH Street
Orland Park, IL 60467-5653
Phone
(708) 364-0261
Fax
(708) 364-6019
NPI assigned
May 27, 2006
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Mr. Andrew B MoutonNPI 1477500825
Title
Owner
Phone
(708) 364-0261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU
Pulmonary Disease Physician 207RP1001X NU
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

10640 W 165TH Street
Orland Park, IL 60467-5653

Mailing address

10640 W 165TH Street
Orland Park, IL 60467-5653
Phone (708) 364-0261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000006 IL Part B Supplier - Clinic/Group Practice 2961305693 Receives reassigned benefits from 27 practitioners
Practice locations: Chicago, IL; Glenview, IL; Libertyville, IL; Orland Park, IL

National Provider Directory

National Provider Directory

Locations

2501 Compass Rd
Glenview, IL 60026
Phone (847) 535-6900

900 Technology Way
Ste 120
Libertyville, IL 60048
Phone (847) 231-4721

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1720035843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 W 165TH STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675653",
            "telephone_number": "708-364-0261",
            "fax_number": "708-364-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 W 165TH STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675653",
            "telephone_number": "708-364-0261",
            "fax_number": "708-364-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGMA HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "MOUTON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-364-0261",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.