Organization Active NPI

North Suburban Rheumatologists, LTD

  • Rheumatology Physician
  • Arlington Heights, IL
National Provider Identifier
1932393618
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036050248 Issued in IL
Legal business name
NORTH SUBURBAN RHEUMATOLOGISTS, LTD
Practice address
1215 S Arlington Heights Rd
Arlington Heights, IL 60005-3142
Phone
(847) 297-0709
Fax
(847) 803-5258
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Prof. Ira L Melnicoff, D.O.
Title
President
Phone
(847) 297-0709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 036050248 IL Primary

Addresses

Primary practice location

1215 S Arlington Heights Rd
Arlington Heights, IL 60005-3142

Mailing address

1215 S Arlington Heights Rd
Arlington Heights, IL 60005-3142
Phone (847) 297-0709

National Provider Directory

National Provider Directory

Locations

1215 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 297-0709

9301 Golf Rd
Ste 205
Des Plaines, IL 60016
Phone (847) 297-0709

Practitioners & affiliated clinicians

Practitioners 1

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": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1932393618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053142",
            "telephone_number": "847-297-0709",
            "fax_number": "847-803-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053142",
            "telephone_number": "847-297-0709",
            "fax_number": "847-803-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN RHEUMATOLOGISTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "MELNICOFF",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-297-0709",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036050248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.