Illinois Medical Specialists PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ILLINOIS MEDICAL SPECIALISTS PC

Practice address

980 N Michigan Ave Ste 1400
PMB 226
Chicago, IL 60611-7500

Phone

(800) 557-8950

NPI assigned

Jul 20, 2021

Last updated

Nov 9, 2021By 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

Hirenkumar Italia

Title

MD

Phone

(800) 557-8950

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marisenda Benitez, DPM

  • Foot Surgery Podiatrist
  • Waukegan, IL
  • NPI 1336115864
  NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1942873724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ROLLINS AVE STE 3",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N MICHIGAN AVE STE 1400",
            "address_2": "PMB 226",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117500",
            "telephone_number": "800-557-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS MEDICAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "ITALIA",
        "authorized_official_first_name": "HIRENKUMAR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "800-557-8950"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illinois Kidney Care PLLC
• Illinois Masonic Hospital
• Illinois Medical Care and Consulting, LLC
• Illinois Medical Care LTD
• Illinois Medical Group SC
• Illinois Mobile Foot Care LLC
• Illinois Mobile Therapy Group LLC
• Illinois Orthopedic Network, LLC
• Illinois Pain and Therapy Associates Inc.
• Illinois Pain Management S C

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.