Active NPI
Healthguard Medical Network SC
- Pediatric Adolescent Medicine Physician
- Saint Charles, IL
National Provider Identifier
1831280783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- Legal business name
- HEALTHGUARD MEDICAL NETWORK SC
- Practice address
- 40W222 la Fox Road
Suite K
Saint Charles, IL 60175-7625 - Phone
- (630) 443-7000
- Fax
- (630) 443-7590
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Cameron Safarloo
- Title
- Ceo
- Phone
- (630) 907-6009
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | ||
| Pediatric Adolescent Medicine Physician | 2080A0000X | IL | Primary |
Addresses
Primary practice location
40W222 la Fox Road
Suite K
Saint Charles, IL 60175-7625
Mailing address
1205 Oak Street
North Aurora, IL 60542-2006
Phone (630) 907-6009
Other names 1
- Healthguard Pediatric And Adult Medicine
National Provider Directory
National Provider DirectoryLocations
40W222 Lafox Rd
Ste J
St Charles, IL 60175
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Elmhurst, IL
- NPI 1417993734
-
- Internal Medicine Physician
- Aurora, IL
- NPI 1316992936
-
- Pediatrics Physician
- South Elgin, IL
- NPI 1013916485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188259200000",
"number": "1831280783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 OAK STREET",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605422006",
"telephone_number": "630-907-6009",
"fax_number": "630-907-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40W222 LA FOX ROAD",
"address_2": "SUITE K",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601757625",
"telephone_number": "630-443-7000",
"fax_number": "630-443-7590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHGUARD MEDICAL NETWORK SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2007-08-28",
"status": "A",
"authorized_official_last_name": "SAFARLOO",
"authorized_official_first_name": "CAMERON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "630-907-6009",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Healthguard Pediatric And Adult Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.