CHICAGO HEALTH MEDICAL GROUP – NPI #1912470295
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

CHICAGO HEALTH MEDICAL GROUP is a provider located in RIVER FOREST, IL. NPPES has assigned the NPI number 1912470295 to CHICAGO HEALTH MEDICAL GROUP on January 09, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHICAGO HEALTH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is RESILIENCE HEALTHCARE - LAKEFRONT MEDICAL ASSOCIATES, LLC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 3 years ago on Jan 13, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHICAGO HEALTH MEDICAL GROUP below.

NPI Profile for
RESILIENCE HEALTHCARE - LAKEFRONT MEDICAL ASSOCIATES, LLC

NPI Number
1912470295
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RESILIENCE HEALTHCARE - LAKEFRONT MEDICAL ASSOCIATES, LLC
Doing Business As (dba): CHICAGO HEALTH MEDICAL GROUP
Other name(s)
All associated names:
Doing Business As (dba)
CHICAGO HEALTH MEDICAL GROUP
Other Name
CHMG - River Forest Cancer Center
Primary location
7420 CENTRAL AVE
RIVER FOREST, IL 60305-1800
Phone: (708) 763-2700 Fax:
Mailing address
4646 N MARINE DR
CHICAGO, IL 60640-5759
Phone: Fax:
Organization Subpart
No
Authorized Official
MANOJ PRASAD
CEO
Phone: (708) 763-6700
Updated
Certification Date
Jan 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.