Promedix

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

PROMEDIX

Practice address

11422 S Western Ave Ste 101
Chicago, IL 60643-4120

Phone

(773) 941-5968

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Nathan M Smith

Title

Biller

Phone

(810) 358-8749

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1083492169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734202",
            "telephone_number": "773-941-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11422 S WESTERN AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434120",
            "telephone_number": "773-941-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "810-358-8749"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polina Prokhoda, MD
• Promed Me Sales & Supplies Inc
• Promed Medical Supplies
• Promed Pharmacy Inc
• Promed Preferred Il 4 PLLC
• Promedix LLC
• Promontory Psychotherapy Inc
• Jacqueline Sunja Prompton, D.D.S
• Joshua Harper Prompton, DDS
• Veronica Pronitcheva

• Pharmacist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.