Organization Active NPI

JSK Family Healthcare, P.C

  • Family Medicine Physician
  • Glendale Heights, IL
National Provider Identifier
1902976368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JSK FAMILY HEALTHCARE, P.C
Practice address
1557 Bloomingdale Rd
Suite 1200
Glendale Heights, IL 60139-2733
Phone
(630) 681-7566
Fax
(630) 681-7568
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mohammed Riazuddin, M.D
Title
President
Phone
(630) 681-7566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

1557 Bloomingdale Rd
Suite 1200
Glendale Heights, IL 60139-2733

Mailing address

1557 Bloomingdale Rd
Suite 1200
Glendale Heights, IL 60139-2733
Phone (630) 681-7566

National Provider Directory

National Provider Directory

Locations

2200 S Main St
Ste 201
Lombard, IL 60148
Phone (630) 495-3333

830 E Higgins Rd
Ste 111T
Schaumburg, IL 60173
Phone (847) 285-1000

890 E Higgins Rd
Ste 150B
Schaumburg, IL 60173
Phone (847) 285-1000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902976368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 BLOOMINGDALE RD",
            "address_2": "SUITE 1200",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392733",
            "telephone_number": "630-681-7566",
            "fax_number": "630-681-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 BLOOMINGDALE RD",
            "address_2": "SUITE 1200",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392733",
            "telephone_number": "630-681-7566",
            "fax_number": "630-681-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSK FAMILY HEALTHCARE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIAZUDDIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-681-7566",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.