Healthstat Inc Scholle Northlake

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

HEALTHSTAT INC SCHOLLE NORTHLAKE

Practice address

200 W North Ave
Northlake, IL 60164-2402

Phone

(708) 409-9276

NPI assigned

Aug 17, 2020

Last updated

Aug 17, 2020By 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

Jill Johnson Patton

Title

Director of Risk Management

Phone

(704) 936-5546

Specialties & licenses 1

Addresses

Tax ID family

Healthstat Onsite Clinic Parkdale Plant 16237 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Healthstat Inc

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Joliet, IL
  • NPI 1851660583
  NPD tax ID
• Healthstat on-Site Clinic/Parker Hannifin Rockford

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Machesney Park, IL
  • NPI 1164854402
  NPD tax ID

Locations

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1780295303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 CHARLOTTE PARK DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171916",
            "telephone_number": "704-936-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W NORTH AVE",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642402",
            "telephone_number": "708-409-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAT INC SCHOLLE NORTHLAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
        "authorized_official_telephone_number": "704-936-5546"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjeev Gope, DDS
• Usha Gope, D.M.D
• Ciprian Gorgan, RPH
• Holly Guerin, OT
• Lisa Guzman, LPC
• Megan Marie Hurt
• International Health Systems (Concord Place)
• Melissa Jacob
• Adiba Jagirdar, DMD
• Heather Jandura, LCSW

• Preventive Medicine/Occupational Environmental Medicine Physician in Northlake, IL
• Providers in Northlake, IL by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.