NPIMap

Organization Active NPI

Sage Medical Group, SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1093812364
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAGE MEDICAL GROUP, SC
Practice address
1150 W Fullerton Ave
2ND Floor
Chicago, IL 60614-8160
Phone
(773) 549-7757
Fax
(773) 549-1221
NPI assigned
Sep 20, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mrs. Cheryl Musil
Title
Practice Administrator
Phone
(773) 549-7757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

1150 W Fullerton Ave
2ND Floor
Chicago, IL 60614-8160

Mailing address

1150 W Fullerton Ave
2ND Floor
Chicago, IL 60614-8160
Phone (773) 549-7757

National Provider Directory

National Provider Directory

Locations

1150 W Fullerton Ave
Ste 2
Chicago, IL 60614
Phone (773) 549-7757

5425 W Lawrence Ave
Chicago, IL 60630
Phone (773) 725-7557

Practitioners & affiliated clinicians

Practitioners 10

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1093812364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W FULLERTON AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606148160",
            "telephone_number": "773-549-7757",
            "fax_number": "773-549-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W FULLERTON AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606148160",
            "telephone_number": "773-549-7757",
            "fax_number": "773-549-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MEDICAL GROUP, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "MUSIL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "773-549-7757",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "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 Nov 1, 2007; 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.