NPIMap

Organization Active NPI

Chicago Meg Center, LLC

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1205012333
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHICAGO MEG CENTER, LLC
Practice address
5554 S Hyde Park Blvd
Chicago, IL 60637-1909
Phone
(773) 324-9200
Fax
(773) 324-9300
NPI assigned
Jan 18, 2008
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Mr. John Hakes
Title
Vice President
Phone
(317) 663-0384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5554 S Hyde Park Blvd
Chicago, IL 60637-1909

Mailing address

11595 N Meridian St
Suite 300
Carmel, IN 46032-6947
Phone (317) 663-0384

National Provider Directory

National Provider Directory

Locations

5554 S Hyde Park Blvd
Chicago, IL 60637
Phone (773) 324-9200

11595 N Meridian St
Ste 300
Carmel, IN 46032

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1205012333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11595 N MERIDIAN ST",
            "address_2": "SUITE 300",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326947",
            "telephone_number": "317-663-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 S HYDE PARK BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371909",
            "telephone_number": "773-324-9200",
            "fax_number": "773-324-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO MEG CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "HAKES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-663-0384",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Jan 18, 2008; 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.