Diabetes and Internal Medicine of Illinois,Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036056302 Issued in IL

Legal business name

DIABETES AND INTERNAL MEDICINE OF ILLINOIS,INC

Practice address

675 W North Ave
Suite 311
Melrose Park, IL 60160-1634

Phone

(708) 450-5745

Fax

(708) 345-3927

NPI assigned

Feb 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Howard Lyle Einhorn, MD

Title

President

Phone

(708) 450-5745

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1962641274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 311",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-450-5745",
            "fax_number": "708-345-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 311",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-450-5745",
            "fax_number": "708-345-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND INTERNAL MEDICINE OF ILLINOIS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "EINHORN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-450-5745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036056302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sushant Dhadwal, D.D.S
• Neetha Dhananjaya, M.D.
• Ravinder Dhillon, M. D.
• Ramesh C Dhingra, MD
• George D Di Tola, DDS
• Diabetes Osteoporosis Obesity Inc
• Diagnostic Pathology Consultants, SC
• Lindsay Ann Diaz, DDS
• Dimoulis Dental P.C.
• Katerine Dimoulis, D.M.D

• Internal Medicine Physician in Melrose Park, IL
• Providers in Melrose 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 Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.