Active NPI
Greenview Health Center Chartered
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1184632051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036061009
- Legal business name
- GREENVIEW HEALTH CENTER CHARTERED
- Practice address
- 5025 N Paulina Ave
Ste 101
Chicago, IL 60640-2772 - Phone
- (773) 334-9056
- Fax
- (773) 334-9009
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Fernando Adalberto Ojea, MD
- Title
- Owner
- Phone
- (773) 334-9056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036061009 | IL | Primary |
Addresses
Primary practice location
5025 N Paulina Ave
Ste 101
Chicago, IL 60640-2772
Mailing address
PO Box 57120
Chicago, IL 60657-0120
Phone (773) 334-9056
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010012601 | Other | IL | MED RR |
| 036061009 | Medicaid | IL | |
| 003160120 | Other | IL | BCBC |
National Provider Directory
National Provider DirectoryLocations
5025 N Paulina St
Ste 101
Chicago, IL 60640
Phone (773) 334-9056
4538 N Beacon St
Chicago, IL 60640
Phone (773) 275-7200
4646 N Marine Dr
#A
Chicago, IL 60640
Phone (217) 415-1831
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1629021787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376438400000",
"number": "1184632051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57120",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606570120",
"telephone_number": "773-334-9056",
"fax_number": "773-334-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 N PAULINA AVE",
"address_2": "STE 101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402772",
"telephone_number": "773-334-9056",
"fax_number": "773-334-9009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENVIEW HEALTH CENTER CHARTERED",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2013-08-14",
"status": "A",
"authorized_official_last_name": "OJEA",
"authorized_official_first_name": "FERNANDO",
"authorized_official_middle_name": "ADALBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-334-9056",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": "036061009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED RR",
"identifier": "010012601",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036061009",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBC",
"identifier": "003160120",
"state": "IL"
}
],
"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 Aug 14, 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.