San Pablo Health Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036082731 Issued in IL

Legal business name

SAN PABLO HEALTH CENTER

Practice address

706 Arbor LN
Glenview, IL 60025-3426

Phone

(312) 859-4518

NPI assigned

Sep 16, 2014

Last updated

Sep 16, 2014By 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

Eric T Mizuno, M.D.

Title

President

Phone

(312) 859-4518

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1760884258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ARBOR LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253426",
            "telephone_number": "312-859-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ARBOR LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253426",
            "telephone_number": "312-859-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PABLO HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "MIZUNO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-859-4518",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036082731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel G. Samo, MD
• Britne Sampang, PTA
• Christie Marie Samrai, DMD
• Daniel Samuel, LSW
• Mary Samulak, PTA
• Brenly Marie Sanchez Cintron, PHARM D
• Carmela Sanchez, PA
• Jana Angela Sanchez
• Leo Franco Sanchez, PHYSICAL THERAPIST
• Robin Sanders, RN

• Internal Medicine Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.