Organization Active NPI

Eikrs Service Corporation

  • Psychiatry Physician
  • Wheaton, IL
National Provider Identifier
1972143725
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
EIKRS SERVICE CORPORATION
Practice address
5 Wheaton Ctr Apt 225
Wheaton, IL 60187-4991
Phone
(630) 251-0206
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Ejaz N Jafri, APN
Title
President
Phone
(630) 251-0206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5 Wheaton Ctr Apt 225
Wheaton, IL 60187-4991

Mailing address

5 Wheaton Ctr Apt 225
Wheaton, IL 60187-4991
Phone (630) 251-0206

Other identifiers 1

IdentifierTypeStateIssuer
041414951MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1972143725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WHEATON CTR APT 225",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874991",
            "telephone_number": "630-251-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WHEATON CTR APT 225",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874991",
            "telephone_number": "630-251-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIKRS SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "EJAZ",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-251-0206",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041414951",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.