Active NPI
Endocrine Associates LLC
- Endocrinology, Diabetes & Metabolism Physician
- Oak Park, IL
National Provider Identifier
1902979487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ENDOCRINE ASSOCIATES LLC
- Practice address
- 520 S Maple Ave
Oak Park, IL 60304-1022 - Phone
- (708) 660-5900
- NPI assigned
- Nov 15, 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
- Jennifer Cunningham, MD
- Title
- Member
- Phone
- (708) 660-5900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
520 S Maple Ave
Oak Park, IL 60304-1022
Mailing address
PO Box 378
Orland Park, IL 60462-0378
Phone (773) 433-3838
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7304353 | Other | IL | AETNA |
| CK2974 | Other | IL | RAIL ROAD MEDICARE |
| 01633083 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Oak Park, IL
- NPI 1134187032
Endocrinology, Diabetes & Metabolism
-
- Endocrinology, Diabetes & Metabolism Physician
- Melrose Park, IL
- NPI 1164489241
Endocrinology, Diabetes & Metabolism
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231718400000",
"number": "1902979487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 378",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604620378",
"telephone_number": "773-433-3838",
"fax_number": "708-301-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S MAPLE AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041022",
"telephone_number": "708-660-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOCRINE ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2009-01-12",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "708-660-5900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7304353",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CK2974",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01633083",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.