NPIMap

Organization Active NPI

Innovative Doctor Group LLP

  • General Practice Physician
  • Chicago, IL
National Provider Identifier
1902034374
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INNOVATIVE DOCTOR GROUP LLP
Practice address
10 W 35TH Street
11TH Floor
Chicago, IL 60616
Phone
(847) 532-3580
Fax
(773) 238-9782
NPI assigned
Jun 24, 2009
Last updated
Jun 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Dr. Albert P Knott, M.D.
Title
Managing Partner
Phone
(847) 437-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

10 W 35TH Street
11TH Floor
Chicago, IL 60616

Mailing address

2025 S Arlington Heights Road
Suite #105
Arlington Heights, IL 60005-4152
Phone (847) 437-2300

National Provider Directory

National Provider Directory

Locations

10 W 35th St
Fl 11
Chicago, IL 60616
Phone (312) 224-8075

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1902034374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 S ARLINGTON HEIGHTS ROAD",
            "address_2": "SUITE #105",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054152",
            "telephone_number": "847-437-2300",
            "fax_number": "847-437-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W 35TH STREET",
            "address_2": "11TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "847-532-3580",
            "fax_number": "773-238-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE DOCTOR GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "KNOTT",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "847-437-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.