Active NPI
Sory Jamil Ruiz Quintero, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Elk Grove Village, IL
National Provider Identifier
1992146500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036.1419
- Practice address
- 800 Biesterfield Rd
Elk Grove Village, IL 60007 - Phone
- (847) 437-5500
- NPI assigned
- Jul 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 57.022472 | OH | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036.1419 | IL | Primary |
Addresses
Primary practice location
800 Biesterfield Rd
Elk Grove Village, IL 60007
Mailing address
1555 N. Barrington Road
Hoffman Estates, IL 60169-1019
Phone (847) 437-5500
Other practice location 1
9500 Euclid Ave.
Cleveland, OH 44195
Phone (216) 445-3707
Other practice location 2
9500 Euclid Ave.
Cleveland, OH 44195
Phone (216) 445-3707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210
3815 Highland Ave
Downers Grove, IL 60515-1500
Phone (630) 275-5900
836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 975-1600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.1419 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 57.022472 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Diagnostic Pathology SC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Park Ridge, IL
- NPI 1982606380
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1992146500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 N. BARRINGTON ROAD",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601691019",
"telephone_number": "847-437-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "60007",
"telephone_number": "847-437-5500"
}
],
"practiceLocations": [
{
"address_1": "9500 Euclid Ave.",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "44195",
"country_code": "US",
"telephone_number": "216-445-3707",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9500 Euclid Ave.",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "44195",
"country_code": "US",
"telephone_number": "216-445-3707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ QUINTERO",
"first_name": "SORY",
"middle_name": "JAMIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-11",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "57.022472",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036.1419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.