NPIMap

Organization Active NPI

Morgan Park Health Services,LTD

  • Preferred Provider Organization
  • Chicago, IL
National Provider Identifier
1023281722
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
MORGAN PARK HEALTH SERVICES,LTD
Practice address
11157 S Halsted St
Chicago, IL 60628-3910
Phone
(773) 821-4600
NPI assigned
Apr 2, 2008
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dr. Kimberly Gray White
Title
Owner/Doctor
Phone
(773) 821-4600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X IL
Preferred Provider Organization 305R00000X IL Primary

Addresses

Primary practice location

11157 S Halsted St
Chicago, IL 60628-3910

Mailing address

11157 S Halsted St
Chicago, IL 60628-3910
Phone (773) 821-4600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1023281722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11157 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283910",
            "telephone_number": "773-821-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11157 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283910",
            "telephone_number": "773-821-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN PARK HEALTH SERVICES,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "773-821-4600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": null,
            "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 Apr 3, 2008; 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.