Active NPI
David J Hale, M.D.
- Cardiovascular Disease Physician
- Elk Grove Village, IL
National Provider Identifier
1891748273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036046730
- Practice address
- 800 Biesterfield Rd Ste G01
Wimmer Building
Elk Grove Village, IL 60007-3372 - Phone
- (847) 981-3680
- Fax
- (847) 956-5122
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036046730 | IL | Primary |
Addresses
Primary practice location
800 Biesterfield Rd Ste G01
Wimmer Building
Elk Grove Village, IL 60007-3372
Mailing address
900 S Frontage Rd
Suite 325
Woodridge, IL 60517-4903
Phone (847) 981-3680
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01008739 | Other | IL | RRMC PTAN |
| IL6305013 | Other | IL | MEDICARE PTAN LOC 15 |
| IL6304013 | Other | IL | MEDICARE PTAN LOC 16 |
| 1720371669 | Other | IL | NPI GROUP PRACTICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036046730 | IL | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1891748273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S FRONTAGE RD",
"address_2": "SUITE 325",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605174903",
"telephone_number": "847-981-3680",
"fax_number": "847-956-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD STE G01",
"address_2": "WIMMER BUILDING",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073372",
"telephone_number": "847-981-3680",
"fax_number": "847-956-5122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "DAVID",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036046730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC PTAN",
"identifier": "P01008739",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN LOC 15",
"identifier": "IL6305013",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN LOC 16",
"identifier": "IL6304013",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP PRACTICE",
"identifier": "1720371669",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.