Organization Active NPI

Genharp Telehealth Solutions

  • General Practice Physician
  • Evergreen Park, IL
National Provider Identifier
1861107302
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Jan 19, 2023

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.