Active NPI
Hampshire Internal Medicine Inc
- Internal Medicine Physician
- Hampshire, IL
National Provider Identifier
1871127084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HAMPSHIRE INTERNAL MEDICINE INC
- Practice address
- 153 S State St
Hampshire, IL 60140-7010 - Phone
- (847) 683-3661
- NPI assigned
- Feb 26, 2020
- 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
- Ann Rendall
- Title
- Manager
- Phone
- (847) 609-5421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
153 S State St
Hampshire, IL 60140-7010
Mailing address
153 S State St
Hampshire, IL 60140-7010
Phone (847) 609-5421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114031382 | Medicaid | IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Hampshire, IL
- NPI 1114031382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690156800000",
"number": "1871127084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 S STATE ST",
"city": "HAMPSHIRE",
"state": "IL",
"postal_code": "601407010",
"telephone_number": "847-609-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 S STATE ST",
"city": "HAMPSHIRE",
"state": "IL",
"postal_code": "601407010",
"telephone_number": "847-683-3661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMPSHIRE INTERNAL MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-26",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A",
"authorized_official_last_name": "RENDALL",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "847-609-5421"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114031382",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampshire, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.