Individual provider Active NPI

Javette C. Orgain, MD MPH

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1174635718
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036066754 Issued in IL
Practice address
2555 S King Dr
Flawless Inc. 2ND Floor C/O R. Phillips, Coo
Chicago, IL 60616-2419
Phone
(312) 833-1077
Fax
(877) 825-1491
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036066754 IL Primary

Addresses

Primary practice location

2555 S King Dr
Flawless Inc. 2ND Floor C/O R. Phillips, Coo
Chicago, IL 60616-2419

Mailing address

PO Box 806527
Chicago, IL 60680-4126
Phone (312) 833-1077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036066754ILMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1174635718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806527",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606804126",
            "telephone_number": "312-833-1077",
            "fax_number": "877-825-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S KING DR",
            "address_2": "FLAWLESS INC. 2ND FLOOR C/O R. PHILLIPS, COO",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162419",
            "telephone_number": "312-833-1077",
            "fax_number": "877-825-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGAIN",
        "first_name": "JAVETTE",
        "middle_name": "C.",
        "credential": "MD  MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036066754",
            "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 Nov 1, 2013; 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.