Maurice Pickard, MAURICE PICKARD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.038028 Issued in IL

Practice address

2115 Painters Lake Rd
Highland Park, IL 60035-2121

Phone

(847) 579-0779

NPI assigned

Apr 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1942566641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 PAINTERS LAKE RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352121",
            "telephone_number": "847-579-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 PAINTERS LAKE RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352121",
            "telephone_number": "847-579-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKARD",
        "first_name": "MAURICE",
        "credential": "MAURICE PICKARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.038028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Kate Peterson, LCSW
• Chelsey Petrich, MD
• Phyllis S Loeff, MD. LTD
• Physical Therapy Now LLC
• Physiotherapy Associates Inc
• Janet Pierson, SLP
• Lynn M Piest, MD
• Sarah Marie Pinger, LCSW
• Stuart Pinkwater, PSYD
• Ted John Piotrowski, DDS

• Internal Medicine Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.