RS Hartz MD Namptp Neuropathy Dr SC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036051428 Issued in IL

Legal business name

RS HARTZ MD NAMPTP NEUROPATHY DR SC

Practice address

715 Lake St
Suite 900
Oak Park, IL 60301-1422

Phone

(773) 637-0166

Fax

(708) 386-5547

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Renee Hartz, MD

Title

Medical Director

Phone

(773) 637-0166

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Angelique Mizera, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1306896634
  NPD (past)

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1982095071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 BALDWIN LN",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024445",
            "telephone_number": "773-637-0166",
            "fax_number": "708-386-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST",
            "address_2": "SUITE 900",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011422",
            "telephone_number": "773-637-0166",
            "fax_number": "708-386-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RS HARTZ MD NAMPTP NEUROPATHY DR SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "HARTZ",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-637-0166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036051428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Ray Roszell, LMT
• Benjamin Jacob Roth, PA-C
• Karen B. Rothstein Pineda, MA, LCPC
• Tiffany Rowland, MSW LCSW
• Roy Carney Counseling PLLC
• David P. Rubalsky, M.D.
• Phyllis B Rubin, PSY D
• Mark Edward Ruehl, PH.D.
• Brenda Ruiz Aragon
• Gabriel Ruiz, LCPC, NCC

• General Practice Physician in Oak Park, IL
• Providers in Oak Park, 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 Dec 28, 2015; 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.