Hemant Puri, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036128868 Issued in IL

Practice address

7435 Madison St
Forest Park, IL 60130-1542

Phone

(708) 771-8000

NPI assigned

Jul 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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  • NPI 1346394715
  NPD (past)

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1740410752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 N 76TH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607071427",
            "telephone_number": "312-623-1395",
            "fax_number": "708-771-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 MADISON ST",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301542",
            "telephone_number": "708-771-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "HEMANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036128868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Pollack, LCSW
• Pop Pediatric Therapy Services, LLC
• Presence Behavioral Health
• Tramaine Presley
• Proviso Township High School District 209
• Claudia Adela Quintero
• Umashankar Ratnasingam, O.D.
• Tushar A Rawalji, DC
• Mary Elizabeth Reynolds, M.A., MSW
• Richard S. Goldberg, M.D., LTD.

• All providers in Forest Park, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.