NPIMap

Organization Active NPI

Metrodocs, S.C.

  • Family Medicine Physician
  • Mount Prospect, IL
National Provider Identifier
1760607634
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
METRODOCS, S.C.
Practice address
431 Lakeview CT
Suite D
Mt Prospect, IL 60056-6048
Phone
(847) 296-3040
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Dr. Joel L Kragt, MDNPI 1891777850
Title
Ceo
Phone
(847) 296-3040

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

431 Lakeview CT
Suite D
Mt Prospect, IL 60056-6048

Mailing address

431 Lakeview CT
Suite D
Mount Prospect, IL 60056
Phone (847) 296-3040

National Provider Directory

National Provider Directory

Locations

1247 Milwaukee Ave
Ste 101
Glenview, IL 60025
Phone (847) 296-3040

431 Lakeview Ct
Ste D
Mt Prospect, IL 60056
Phone (847) 296-3040

431 Lakeview Ct
Mt Prospect, IL 60056
Phone (847) 296-3040

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1760607634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 LAKEVIEW CT",
            "address_2": "SUITE D",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-296-3040",
            "fax_number": "847-296-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 LAKEVIEW CT",
            "address_2": "SUITE D",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600566048",
            "telephone_number": "847-296-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRODOCS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "KRAGT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-296-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

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