Iora Health Illinois Physicians, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IORA HEALTH ILLINOIS PHYSICIANS, P.C.

Practice address

611 W Roosevelt Rd
Chicago, IL 60607-4911

Phone

(773) 570-3382

Fax

(773) 453-8116

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Marc-David Munk, MD

Title

Chief Medical Officer

Phone

(617) 454-4672

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1801268255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TREMONT ST FL 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021085004",
            "telephone_number": "617-454-4672",
            "fax_number": "617-701-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074911",
            "telephone_number": "773-570-3382",
            "fax_number": "773-453-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IORA HEALTH ILLINOIS PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "MUNK",
        "authorized_official_first_name": "MARC-DAVID",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "617-454-4672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Ioffe, PH.D.
• Tara Chongsuwat Ioffe, MD
• Analisa Iole, PHARMD
• Ofelia Martha Ionescu, MD
• Darren Carl Ioos
• Michael Iorga
• Angela Marie Iosue
• Nathaniel Anthony Iovinelli, LCPC
• Calvin K Ip, DPT
• Ma. Lourdes L Ipapo, PT

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Dec 9, 2016; 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.