Homsi Pediatric Neurology Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HOMSI PEDIATRIC NEUROLOGY INC.

Practice address

4 Nandina CT
Bolingbrook, IL 60490-2121

Phone

(630) 771-0255

Fax

(630) 771-0255

NPI assigned

Jan 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed S Homsi, MD

Title

President

Phone

(630) 888-0751

Specialties & licenses 2

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15637/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1811310956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NANDINA CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902121",
            "telephone_number": "630-771-0255",
            "fax_number": "630-771-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NANDINA CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902121",
            "telephone_number": "630-771-0255",
            "fax_number": "630-771-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMSI PEDIATRIC NEUROLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-25",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "HOMSI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-888-0751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036112318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.