NPIMap

Organization Active NPI

Northwest Morton Grove SC

Doing business as AFC Primary Care

  • Primary Care Clinic/Center
  • Morton Grove, IL
National Provider Identifier
1023723087
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NORTHWEST MORTON GROVE SC
Doing business as
AFC Primary Care
Practice address
6841 Dempster St
Morton Grove, IL 60053-2628
Phone
(224) 233-0299
Fax
(224) 233-0288
NPI assigned
Jan 13, 2023
Last updated
Jan 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Anand Thakkar, MDNPI 1336190040
Title
Owner
Phone
(224) 233-0299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

6841 Dempster St
Morton Grove, IL 60053-2628

Mailing address

PO Box 10417
Holyoke, MA 01041-2017
Phone (224) 530-1020

Other names 1

  • AFC Primary Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1023723087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10417",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010412017",
            "telephone_number": "224-530-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 DEMPSTER ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532628",
            "telephone_number": "224-233-0299",
            "fax_number": "224-233-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MORTON GROVE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "ANAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-233-0299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.