Individual provider Active NPI

Harbans K Deol, MD

  • Obstetrics & Gynecology Physician
  • Des Plaines, IL
National Provider Identifier
1851391387
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-060081 Issued in IL
Practice address
1400 E Golf Rd
Suite 114
Des Plaines, IL 60016-1236
Phone
(847) 390-9870
Fax
(847) 390-6378
NPI assigned
Jul 27, 2005
Reactivated
Aug 23, 2006
Last updated
Aug 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-060081 IL Primary

Addresses

Primary practice location

1400 E Golf Rd
Suite 114
Des Plaines, IL 60016-1236

Mailing address

1400 E Golf Rd
Suite 114
Des Plaines, IL 60016-1236
Phone (847) 390-9870

Other identifiers 1

IdentifierTypeStateIssuer
036060081MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-060081ILMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1851391387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E GOLF RD",
            "address_2": "SUITE 114",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161236",
            "telephone_number": "847-390-9870",
            "fax_number": "847-390-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E GOLF RD",
            "address_2": "SUITE 114",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161236",
            "telephone_number": "847-390-9870",
            "fax_number": "847-390-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOL",
        "first_name": "HARBANS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2010-08-26",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-060081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060081",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.