Organization Active NPI

Korathu Thomas, MD, S.C.

  • Infusion Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1962709253
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
License
036053507 Issued in IL
Legal business name
KORATHU THOMAS, MD, S.C.
Practice address
2222 W Division St
Chicago, IL 60622-2717
Phone
(773) 227-8870
Fax
(312) 770-3208
NPI assigned
Feb 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Dr. Korathu Thomas, M.D.
Title
President
Phone
(773) 283-9594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X 036053507 IL Primary

Addresses

Primary practice location

2222 W Division St
Chicago, IL 60622-2717

Mailing address

PO Box 1201
Northbrook, IL 60065-1201
Phone (773) 283-9594

Other identifiers 1

IdentifierTypeStateIssuer
036053507MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1962709253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1201",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600651201",
            "telephone_number": "773-283-9594",
            "fax_number": "773-283-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-227-8870",
            "fax_number": "312-770-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORATHU THOMAS, MD, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KORATHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-283-9594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "IL",
            "license": "036053507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053507",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.