NPIMap

Organization Active NPI

Unified Therapeutics LLC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1154590305
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIFIED THERAPEUTICS LLC
Practice address
3561 S King Dr
Chicago, IL 60653-1136
Phone
(312) 479-7744
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Todd Occomy
Title
Financial Officer
Phone
(312) 479-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3561 S King Dr
Chicago, IL 60653-1136

Mailing address

3561 S King Dr
Chicago, IL 60653-1136
Phone (312) 479-7744

National Provider Directory

National Provider Directory

Locations

820 W Lawrence Ave
Chicago, IL 60640
Phone (773) 769-2570

5835 W Division St
Chicago, IL 60651
Phone (773) 626-3613

6329 N Winthrop Ave
Chicago, IL 60660
Phone (773) 338-7800

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1154590305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 S KING DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531136",
            "telephone_number": "312-479-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3561 S KING DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531136",
            "telephone_number": "312-479-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "OCCOMY",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "312-479-7744"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 21, 2008; 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.