Organization Active NPI

Prism Medical Center of Il NFP

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1023101086
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRISM MEDICAL CENTER OF IL NFP
Practice address
6346 N Talman Ave
Ste # 102
Chicago, IL 60659-1898
Phone
(773) 262-1300
Fax
(773) 262-1184
NPI assigned
Oct 2, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Mohammad A Saudye, MD
Title
Medical Director
Phone
(773) 262-1300

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL
Internal Medicine Physician 207R00000X IL Primary
Interventional Cardiology Physician 207RI0011X IL
Pediatrics Physician 208000000X IL

Addresses

Primary practice location

6346 N Talman Ave
Ste # 102
Chicago, IL 60659-1898

Mailing address

6346 N Talman Ave
Ste # 102
Chicago, IL 60659-1898
Phone (773) 262-1300

Other identifiers 1

IdentifierTypeStateIssuer
01633175OtherILBCBS

National Provider Directory

National Provider Directory

Locations

2745 W Devon Ave
Chicago, IL 60659
Phone (773) 262-1300

6346 N Talman Ave
Ste 102
Chicago, IL 60659
Phone (773) 262-1300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023101086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6346 N TALMAN AVE",
            "address_2": "STE # 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591898",
            "telephone_number": "773-262-1300",
            "fax_number": "773-262-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6346 N TALMAN AVE",
            "address_2": "STE # 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591898",
            "telephone_number": "773-262-1300",
            "fax_number": "773-262-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM MEDICAL CENTER OF IL NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SAUDYE",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-262-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01633175",
            "state": "IL"
        }
    ],
    "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 Sep 11, 2025; 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.