Health Maintenance Insititue of Illinois, Inc.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

036044591 Issued in IL

Legal business name

HEALTH MAINTENANCE INSITITUE OF ILLINOIS, INC.

Practice address

2604 E Dempster St Ste 402
Park Ridge, IL 60068-8438

Phone

(847) 635-6580

Fax

(847) 635-0038

NPI assigned

Apr 30, 2008

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kathy Kye, CHES

Title

President

Phone

(847) 635-6580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1942476957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 E DEMPSTER ST STE 402",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688438",
            "telephone_number": "847-635-6580",
            "fax_number": "847-635-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 E DEMPSTER ST STE 402",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688438",
            "telephone_number": "847-635-6580",
            "fax_number": "847-635-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MAINTENANCE INSITITUE OF ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "KYE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-635-6580",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CHES"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "IL",
            "license": "036044591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Worker in Park Ridge, IL
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• Community Health Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.