Active NPI
Javette C. Orgain, MD MPH
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1174635718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036066754
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036066754 | IL | MD | Family 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.