Organization Active NPI

Doc Cam Medical Center SC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1003129024
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
364429828 Issued in IL
Legal business name
DOC CAM MEDICAL CENTER SC
Practice address
2315 E 93Rd St Ste 337
Chicago, IL 60617-3948
Phone
(773) 731-2700
Fax
(773) 373-1868
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Dr. Eric Tchaptchet, MD
Title
Medical Director
Phone
(773) 731-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 364429828 IL Primary

Addresses

Primary practice location

2315 E 93Rd St Ste 337
Chicago, IL 60617-3948

Mailing address

2315 E 93Rd St
Chicago, IL 60617-3936
Phone (773) 731-2700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1003129024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-731-2700",
            "fax_number": "773-363-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST STE 337",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173948",
            "telephone_number": "773-731-2700",
            "fax_number": "773-373-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC CAM MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "TCHAPTCHET",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-731-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "364429828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.