Arthritis Clinic, LTD.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

036087371 Issued in IL

Legal business name

ARTHRITIS CLINIC, LTD.

Practice address

1007 South 42ND Street
Building a, Suite 4
Mount Vernon, IL 62864

Phone

(618) 242-4626

Fax

(618) 242-4638

NPI assigned

Sep 14, 2006

Last updated

Apr 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Iqbal M. Akhter, MDNPI 1083719991

Title

Owner/President

Phone

(618) 242-4626

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Iqbal M Akhter, M.D.

  • Rheumatology Physician
  • Mount Vernon, IL
  • NPI 1083719991
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1750486676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 SOUTH 42ND STREET",
            "address_2": "BUILDING A, SUITE 4",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "62864",
            "telephone_number": "618-242-4626",
            "fax_number": "618-242-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 SOUTH 42ND STREET",
            "address_2": "BUILDING A, SUITE 4",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "62864",
            "telephone_number": "618-242-4626",
            "fax_number": "618-242-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "AKHTER",
        "authorized_official_first_name": "IQBAL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "618-242-4626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036087371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.