Belgica Johana Cardoso

Key facts

NPI

1992275176

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

455 E Main St
East Dundee, IL 60118-1529

Phone

(847) 428-2273

Fax

(847) 428-3128

NPI assigned

Nov 29, 2018

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 29, 2018.

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1992275176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E MAIN ST",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181529",
            "telephone_number": "847-428-2273",
            "fax_number": "847-428-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E MAIN ST",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181529",
            "telephone_number": "847-428-2273",
            "fax_number": "847-428-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOSO",
        "first_name": "BELGICA",
        "middle_name": "JOHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in East Dundee, IL · Case Manager/Care Coordinator in Illinois