Tratt Clinic SC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TRATT CLINIC SC

Practice address

219 Bedford Rd
Morris, IL 60450-1442

Phone

(815) 942-3000

Fax

(815) 942-2333

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Cesario M Cumba, M.D.

Title

Owner/President

Phone

(815) 942-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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

• Ivona Barton, NP-C

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1699385088
  NPD (past)
• Choongkoon Jane Lee, MD

  • Internal Medicine Physician
  • Morris, IL
  • NPI 1497761811
  NPD (past)
• Suling Li

  • Family Nurse Practitioner
  • Morris, IL
  • NPI 1437798436
  NPD (past)
• Mark David Zenke, MSN APRN FNP-C

  • Family Nurse Practitioner
  • Morris, IL
  • NPI 1801345707
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1730466871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 BEDFORD RD",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501442",
            "telephone_number": "815-942-3000",
            "fax_number": "815-942-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 BEDFORD RD",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501442",
            "telephone_number": "815-942-3000",
            "fax_number": "815-942-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRATT CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "CUMBA",
        "authorized_official_first_name": "CESARIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "815-942-3000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049033",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc
• Toussaint Obstetrics and Gynecology, P.C.
• Douglas N. Toussaint, D.O.
• Victor Toussaint
• Trailheads: Adventures in Mind, Body and Spirit
• Stephen Treacy, M.D.
• Guadalupe Trejo
• Vaishali Trivedi, PHARMD
• Kayla J Tuggle
• Jeffrey Turner, CSA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.