M Chavez MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036079016 Issued in IL

Legal business name

M CHAVEZ MD SC

Practice address

1509 N Western Ave Unit a
Chicago, IL 60622-2416

Phone

(773) 227-3303

Fax

(773) 897-5848

NPI assigned

May 3, 2010

Organization subpart

No

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

Authorized official

Name

Milton C Chavez, MDNPI 1700869450

Title

Owner/Physician

Phone

(773) 342-1212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21778/brand/1/csg/1/fhir/r4

Practitioners 5

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

• Milton C Chavez, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1700869450
  Medicare reassignment NPD Authorized official
• Sarah Adam

  • Case Manager/Care Coordinator
  • Chicago, IL
  • NPI 1053032938

  Multi-Specialty

  NPD
• Karen Corona, NP

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1891654588
  NPD
• Judith Miriam Goykhman, APN

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1063167849
  NPD
• Rainier Chirinos, FNP

  • Family Nurse Practitioner
  • Woodhaven, NY
  • NPI 1982095873
  NPD

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1134446065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 N WESTERN AVE UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222416",
            "telephone_number": "773-227-3303",
            "fax_number": "773-897-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N WESTERN AVE UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222416",
            "telephone_number": "773-227-3303",
            "fax_number": "773-897-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M CHAVEZ MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "773-342-1212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036079016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M & F Medical Services, LTD
• M & R Rudra Incorporated (New Life Medical Center)
• M & Z Rehabilitation Inc
• M a C Care Transportation LLC
• M C Bilingual Services, Inc.
• M D Aesthetics and Dermatology LLC
• M D Total Care PC
• M Dominguez Jr MD SC
• M Gomez Inc.
• M K Palmore MD SC

• 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 Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.