NPIMap

Organization Active NPI

Hispanic Regional Clinics SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1184653040
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036083463 Issued in IL
Legal business name
HISPANIC REGIONAL CLINICS SC
Practice address
5544 W Belmont Ave
Chicago, IL 60641-4129
Phone
(773) 685-7816
Fax
(773) 685-4830
NPI assigned
Jul 2, 2006
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Ramon J Castro, MDNPI 1710916663
Title
President
Phone
(773) 685-7816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036083463 IL Primary
Cardiovascular Disease Physician 207RC0000X 036045354 IL
Gynecology Physician 207VG0400X 036039405 IL

Addresses

Primary practice location

5544 W Belmont Ave
Chicago, IL 60641-4129

Mailing address

5544 W Belmont Ave
Chicago, IL 60641-4129
Phone (773) 685-7816

Other identifiers 2

IdentifierTypeStateIssuer
01634577OtherILBLUECROSS&BLUESHIELD
036083463MedicaidIL

National Provider Directory

National Provider Directory

Locations

3267 N Milwaukee Ave
Chicago, IL 60618
Phone (773) 685-5676

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1184653040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414129",
            "telephone_number": "773-685-7816",
            "fax_number": "773-685-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414129",
            "telephone_number": "773-685-7816",
            "fax_number": "773-685-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANIC REGIONAL CLINICS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-685-7816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036083463",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036045354",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036039405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS&BLUESHIELD",
            "identifier": "01634577",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083463",
            "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 Nov 16, 2010; 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.