Alliance Healthcare Providers, Inc.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209004954 Issued in IL

Legal business name

ALLIANCE HEALTHCARE PROVIDERS, INC.

Practice address

2189 Ashby LN
Plainfield, IL 60586-5443

Phone

(630) 508-0891

Fax

(630) 485-6975

NPI assigned

Jul 12, 2011

Last updated

Aug 16, 2011By 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

Mrs. Judy L Carino, RN, MSN, PCCN,APRN

Title

Owner

Phone

(630) 508-0891

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1881982866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 ASHBY LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865443",
            "telephone_number": "630-508-0891",
            "fax_number": "630-485-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 ASHBY LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865443",
            "telephone_number": "630-508-0891",
            "fax_number": "630-485-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTHCARE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "CARINO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-508-0891",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN, PCCN,APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209004954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1073846440",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.