Organization Active NPI

Cynthia Carmona

  • Infusion Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1972050037
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
License
209014818 Issued in IL
Legal business name
CYNTHIA CARMONA
Practice address
7715 N Hermitage Ave
2E
Chicago, IL 60626-1033
Phone
(630) 649-0636
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Ms. Cynthia Carmona, NP
Title
NP
Phone
(630) 649-0636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X 209014818 IL Primary

Addresses

Primary practice location

7715 N Hermitage Ave
2E
Chicago, IL 60626-1033

Mailing address

7715 N Hermitage Ave
2E
Chicago, IL 60626-1033
Phone (630) 649-0636

Other names 1

  • Cynthia Carmona Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1972050037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 N HERMITAGE AVE",
            "address_2": "2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261033",
            "telephone_number": "630-649-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 N HERMITAGE AVE",
            "address_2": "2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261033",
            "telephone_number": "630-649-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA CARMONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "CARMONA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "630-649-0636",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "IL",
            "license": "209014818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cynthia Carmona",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 13, 2017; 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.