Pallan Primary Care LTD S C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-137215 Issued in IL

Legal business name

PALLAN PRIMARY CARE LTD S C

Practice address

2425 W 22ND St Ste 211
Oak Brook, IL 60523

Phone

(630) 368-3909

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Tony Varghese Pallan, M.D.

Title

President

Phone

(913) 980-9289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1851753636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605150428",
            "telephone_number": "630-368-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST STE 211",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "60523",
            "telephone_number": "630-368-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLAN PRIMARY CARE LTD S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "PALLAN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "VARGHESE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-980-9289",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-137215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Joy Ozelis, LCPC
• Emily Elizabeth Padgett, MA
• Padilla Counseling, LTD.
• Kristy Veronica Padilla, M.A., LCPC
• Samantha Catherine Pakula, CCC-SLP
• Mark S Palo, D.D.S.,M.S.
• Jigar Panchal, PT
• Gulshan E Pandya, OT
• George Emmanuel Paniotte, M.D.
• George S. Panos, D.D.S.

• Family Medicine Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.