Organization Active NPI

Michael Plunkett, MDSC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1124449681
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MICHAEL PLUNKETT, MDSC
Practice address
7447 W Talcott Ave Ste 182
Chicago, IL 60631-3712
Phone
(773) 792-5155
Fax
(773) 594-7975
NPI assigned
Dec 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Michael J Plunkett, MD
Title
President
Phone
(773) 792-5155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

7447 W Talcott Ave Ste 182
Chicago, IL 60631-3712

Mailing address

7447 W Talcott Ave Ste 182
Chicago, IL 60631-3712
Phone (773) 792-5155

National Provider Directory

National Provider Directory

Locations

4801 W Peterson Ave
Ste 610
Chicago, IL 60646
Phone (773) 275-5558

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1124449681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 182",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313712",
            "telephone_number": "773-792-5155",
            "fax_number": "773-594-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 182",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313712",
            "telephone_number": "773-792-5155",
            "fax_number": "773-594-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL PLUNKETT, MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "PLUNKETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-792-5155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 13, 2020; 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.