Chicago Medical Center,SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHICAGO MEDICAL CENTER,SC

Practice address

4112 N Lincoln Ave
Chicago, IL 60618-3028

Phone

(773) 248-0300

Fax

(773) 248-0303

NPI assigned

Oct 2, 2007

Last updated

Oct 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andra Munteanu, MDNPI 1912934456

Title

Practice Owner

Phone

(773) 248-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andra Munteanu, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1912934456
  NPD (past) Authorized official

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1174710255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597781",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606597781",
            "telephone_number": "773-248-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183028",
            "telephone_number": "773-248-0300",
            "fax_number": "773-248-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO MEDICAL CENTER,SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "MUNTEANU",
        "authorized_official_first_name": "ANDRA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "773-248-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03609939",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicago Medical Alliance LLC
• Chicago Medical and Surgical Center
• Chicago Medical and Surgical Specialists, S. C.
• Chicago Medical Associates, Inc
• Chicago Medical Center Limited
• Chicago Medical Mobility Heathcare Services
• Chicago Medical Mobility Transportation Services
• Chicago Medical Physicians LLC
• Chicago Medical Supplies Enterprise Inc
• Chicago Medical Transportation

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.