Active NPI
Genharp Telehealth Solutions
- General Practice Physician
- Evergreen Park, IL
National Provider Identifier
1861107302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- GENHARP TELEHEALTH SOLUTIONS
- Practice address
- 9730 S Western Ave Ste 218
Evergreen Park, IL 60805-2758 - Phone
- (872) 205-3194
- NPI assigned
- Jan 19, 2023
- 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
- Asia Beamon, MD
- Title
- Owner
- Phone
- (872) 205-3194
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
9730 S Western Ave Ste 218
Evergreen Park, IL 60805-2758
Mailing address
9730 S Western Ave Ste 218
Evergreen Park, IL 60805-2758
National Provider Directory
National Provider DirectoryLocations
9730 S Western Ave
Ste 218
Evergreen Park, IL 60805
Phone (872) 205-3194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674086400000",
"number": "1861107302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9730 S WESTERN AVE STE 218",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 S WESTERN AVE STE 218",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052758",
"telephone_number": "872-205-3194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENHARP TELEHEALTH SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-19",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A",
"authorized_official_last_name": "BEAMON",
"authorized_official_first_name": "ASIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "872-205-3194",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.