Organization Active NPI

Unified Primary Care Physicians Network, Inc

  • Family Medicine Physician
  • Northbrook, IL
National Provider Identifier
1043024318
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIFIED PRIMARY CARE PHYSICIANS NETWORK, INC
Practice address
1224 Blue Hill Ter
Northbrook, IL 60062-4406
Phone
(847) 877-3160
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Ms. Tayebe Shah-Mirany
Title
Ceo
Phone
(847) 877-3160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1224 Blue Hill Ter
Northbrook, IL 60062-4406

Mailing address

1224 Blue Hill Ter
Northbrook, IL 60062-4406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1043024318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 BLUE HILL TER",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 BLUE HILL TER",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624406",
            "telephone_number": "847-877-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED PRIMARY CARE PHYSICIANS NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "SHAH-MIRANY",
        "authorized_official_first_name": "TAYEBE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-877-3160",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.