Earlesian Health Concepts

Primary specialty

SpecialistTaxonomy code 174400000X

License

036042961 Issued in IL

Legal business name

EARLESIAN HEALTH CONCEPTS

Practice address

20815 Brookside Blvd
Olympia Fields, IL 60461-1712

Phone

(708) 283-5049

NPI assigned

May 23, 2012

Last updated

May 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lucius C Earles III, M.D.

Title

Owner

Phone

(708) 283-5049

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1881954949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20815 BROOKSIDE BLVD",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611712",
            "telephone_number": "708-283-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20815 BROOKSIDE BLVD",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611712",
            "telephone_number": "708-283-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLESIAN HEALTH CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "EARLES",
        "authorized_official_first_name": "LUCIUS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-283-5049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036042961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.