Nabher Healthcare, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036108886 Issued in IL

Legal business name

NABHER HEALTHCARE, P.C.

Practice address

1792 E. Oakton Street
Des Plaines, IL 60018-2110

Phone

(847) 827-4496

Fax

(847) 827-1256

NPI assigned

Jul 30, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Carrie Braswell

Title

Office Manager

Phone

(847) 827-4496

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1922312198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 E. OAKTON STREET",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182110",
            "telephone_number": "847-827-4496",
            "fax_number": "847-827-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 E. OAKTON STREET",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182110",
            "telephone_number": "847-827-4496",
            "fax_number": "847-827-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABHER HEALTHCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "BRASWELL",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-827-4496",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036108886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TAXONOMY",
            "identifier": "207Q00000X",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108886",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.