Park Avenue Associates in Internal Medicine, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036094471 Issued in IL

Legal business name

PARK AVENUE ASSOCIATES IN INTERNAL MEDICINE, LTD

Practice address

767 Park Ave W
Suite 350
Highland Park, IL 60035-2400

Phone

(847) 926-4445

Fax

(847) 681-0994

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Scott Garland, M.D.

Title

President

Phone

(847) 926-4445

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1831246826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W",
            "address_2": "SUITE 350",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352400",
            "telephone_number": "847-926-4445",
            "fax_number": "847-681-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W",
            "address_2": "SUITE 350",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352400",
            "telephone_number": "847-926-4445",
            "fax_number": "847-681-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE ASSOCIATES IN INTERNAL MEDICINE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "GARLAND",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-926-4445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "0004932481",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Milton Leslie Paige X, M.D.
• Isabella J. Pak, APN-CNP
• Park Avenue Private Practice LLC
• Anne M. Parker, APN-CNP
• Gayle M Parsons
• Jenna Pascucci
• Ashish H Patel

• Internal Medicine Physician in Highland Park, IL
• Providers in Highland Park, 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 Jan 28, 2015; 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.