Active NPI
Rafael Avina
- Case Management Agency
- Chicago, IL
National Provider Identifier
1194433086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 3306 W 63Rd St
Chicago, IL 60629-3317 - Phone
- (312) 863-1040
- NPI assigned
- Nov 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
3306 W 63Rd St
Chicago, IL 60629-3317
Mailing address
7101 N Cicero Ave Ste 202
Lincolnwood, IL 60712-2143
Phone (773) 433-6210
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1194433086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 N CICERO AVE STE 202",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122143",
"telephone_number": "773-433-6210",
"fax_number": "866-744-0950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 W 63RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606293317",
"telephone_number": "312-863-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVINA",
"first_name": "RAFAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.