Active NPI
JSK Family Healthcare, P.C
- Family Medicine Physician
- Glendale Heights, IL
National Provider Identifier
1902976368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Lombard, IL
- NPI 1659483600
-
- Family Medicine Physician
- Orland Park, IL
- NPI 1801834379
-
- Physician Assistant
- Winter Haven, FL
- NPI 1548594492
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.