Hermosa Medical & Diagnostic Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HERMOSA MEDICAL & DIAGNOSTIC CENTER INC

Practice address

2004 N. Pulaski Rd
Chicago, IL 60639-3767

Phone

(773) 772-8876

Fax

(773) 252-3091

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Ragda A. Sharifeh

Title

President

Phone

(773) 772-8876

Specialties & licenses 1

Addresses

Other names 1

• Hermosa Medical & Diagnostic Center Former legal business name

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7619/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1962615674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 N. PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393767",
            "telephone_number": "773-772-8876",
            "fax_number": "773-252-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 N. PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393767",
            "telephone_number": "773-772-8876",
            "fax_number": "773-252-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMOSA MEDICAL & DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "SHARIFEH",
        "authorized_official_first_name": "RAGDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-772-8876"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermosa Medical & Diagnostic Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rita Hermiz, PHARMD
• Taylor Anne Hermle
• Brazil Hermon
• Hermosa Dental Clinic
• Hermosa Healthcare of Chicago Inc.
• Hermosa Pharmacy Inc
• Cynthia Chicago Hermosillo
• Rachel Anne Hern, OTD, OTR/L
• Mary J Hernan
• Joselyn Edith Hernandez Callejas, MD, MPH

• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.