Organization Active NPI

La Pieta Inc.

  • Primary Care Clinic/Center
  • Glen Ellyn, IL
National Provider Identifier
1851645097
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LA PIETA INC.
Practice address
800 Roosevelt Rd
Glen Ellyn, IL 60137-5839
Phone
(888) 207-1283
Fax
(888) 283-2049
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Authorized official

Name
Nicole Moore
Title
Administrator
Phone
(888) 207-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

800 Roosevelt Rd
Glen Ellyn, IL 60137-5839

Mailing address

3731 Cindy LN
Glenview, IL 60025-3781
Phone (224) 703-2033

Other practice location 1

3731 Cindy Ln
Glenview, IL 60025-3781
Phone (224) 944-7156

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1851645097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 CINDY LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253781",
            "telephone_number": "224-703-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375839",
            "telephone_number": "888-207-1283",
            "fax_number": "888-283-2049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3731 Cindy Ln",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600253781",
            "country_code": "US",
            "telephone_number": "224-944-7156",
            "fax_number": "800-707-1396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA PIETA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "888-207-1283"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.