Ultramed Primary Care LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ULTRAMED PRIMARY CARE LTD

Practice address

5020 Dempster St
Skokie, IL 60077-1835

Phone

(847) 423-2264

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Holly Hosey

Title

Office Manager

Phone

(847) 423-2264

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1083103709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 DEMPSTER ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771835",
            "telephone_number": "847-423-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 DEMPSTER ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771835",
            "telephone_number": "847-423-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRAMED PRIMARY CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "HOSEY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-423-2264"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Skokie, IL
• Providers in Skokie, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.