Parkwest Family Practice SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36057975 Issued in IL

Legal business name

PARKWEST FAMILY PRACTICE SC

Practice address

2526 N Lincoln Ave
Chicago, IL 60614-2353

Phone

(773) 929-7410

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Indira Shah

Title

Owner / Provider

Phone

(773) 929-7410

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1114931557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR",
            "address_2": "DEPT 1704",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751704",
            "telephone_number": "727-823-2188",
            "fax_number": "727-823-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142353",
            "telephone_number": "773-929-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWEST FAMILY PRACTICE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "773-929-7410"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36057975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Beth Parks, LSW, MSW
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• Parkside Laboratory LLC
• Parkside Therapy
• Parkview Dental Care
• Parkwest Podiatry, P.C.
• Parkwest Podiatry, P.C.
• Parkwest Podiatry, P.C.
• Parkwest Podiatry,PC
• Parliament Therapy

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.