Covid of Chicago LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

COVID OF CHICAGO LLC

Practice address

1240 N Halsted St
Chicago, IL 60642-2614

Phone

(773) 270-5600

NPI assigned

Nov 14, 2020

Organization subpart

No

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

Authorized official

Name

Rahul Khare, MD

Title

Owner

Phone

(312) 622-1062

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13676/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605312000000",
    "number": "1124620174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N SEMINARY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574392",
            "telephone_number": "312-622-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422614",
            "telephone_number": "773-270-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVID OF CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A",
        "authorized_official_last_name": "KHARE",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-622-1062",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://athenanet.athenahealth.com/13676/23/globalframeset.esp?MAIN=https%3A%2F%2Fathenanet%2Eathena",
            "affiliation": "N",
            "address_1": "1240 N Halsted St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606422614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Covert Minds Therapy
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• Cynthia Covian-Hernandez, P.T.
• Covid Medical Solution Illinois LLC
• Covid Testing Centers and Wellness
• Covifree Lab
• Jamie Nicole Covington, DDS
• Raegina Nmi Covington
• Alyssa Cowan, PSYD

• Health Service Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.