NPIMap

Organization Active NPI

Dupage Health Center LTD

Doing business as Pejoma LLC

  • Internal Medicine Physician
  • Carol Stream, IL
National Provider Identifier
1982879029
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-111607 Issued in IL
Legal business name
DUPAGE HEALTH CENTER LTD
Doing business as
Pejoma LLC
Practice address
206 N Gary Ave
Carol Stream, IL 60188-1834
Phone
(847) 219-7396
NPI assigned
Apr 29, 2008
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Syed Nasir Ghani
Title
President
Phone
(847) 219-7396

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 036-111607 IL
Family Medicine Physician 207Q00000X 036-111607 IL
Internal Medicine Physician 207R00000X 036-111607 IL Primary
General Practice Physician 208D00000X 036-111607 IL

Addresses

Primary practice location

206 N Gary Ave
Carol Stream, IL 60188-1834

Mailing address

206 N Gary Ave
Carol Stream, IL 60188-1834
Phone (847) 219-7396

Other identifiers 1

IdentifierTypeStateIssuer
036111607OtherILMEDICAL LICENSE NUMBER

Other names 1

  • PEJOMA LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1982879029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N GARY AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881834",
            "telephone_number": "847-219-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N GARY AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881834",
            "telephone_number": "847-219-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE HEALTH CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "GHANI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "NASIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-219-7396",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": "036-111607",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-111607",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-111607",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036-111607",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "036111607",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEJOMA LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.