Active NPI
Albert Pecherek SC.
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ALBERT PECHEREK SC.
- Doing business as
- Milwaukee Ave. Medical Center
- Practice address
- 6438 N. Milwaukee Ave.
Chicago, IL 60631 - Phone
- (773) 763-9305
- Fax
- (773) 763-9368
- NPI assigned
- Apr 9, 2008
- Organization subpart
- Yes
- Parent organization
- ALBERT PECHEREK SC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert Pecherek, M.D.
- Title
- President
- Phone
- (773) 763-9305
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
6438 N. Milwaukee Ave.
Chicago, IL 60631
Mailing address
6438 N Milwaukee Ave
Chicago, IL 60631-2046
Phone (773) 763-9305
Other names 1
- Milwaukee Ave. Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1000101 | Milwaukee Ave Medical Center | Provider-performed microscopy | Jun 3, 2028 |
National Provider Directory
National Provider Directory- Part of
- Albert Pecherek SC
Locations
6438 N Milwaukee Ave
Chicago, IL 60631
Phone (773) 763-9305
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1922147024
-
- Physical Medicine & Rehabilitation Physician
- Melbourne, FL
- NPI 1619478229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207699200000",
"number": "1144493255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6438 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606312046",
"telephone_number": "773-763-9305",
"fax_number": "773-763-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6438 N. MILWAUKEE AVE.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60631",
"telephone_number": "773-763-9305",
"fax_number": "773-763-9368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERT PECHEREK SC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALBERT PECHEREK SC",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A",
"authorized_official_last_name": "PECHEREK",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-763-9305",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Milwaukee Ave. Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.