NPIMap

Organization Active NPI

Iari Incorporated

Doing business as Sullivan Medical Center

  • Multi-Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1205175965
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
IARI INCORPORATED
Doing business as
Sullivan Medical Center
Practice address
15 S Kedzie Ave
Chicago, IL 60612-2705
Phone
(773) 638-2051
NPI assigned
Jan 31, 2013
Last updated
Jan 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Mr. Arif Mohammed
Title
Billing Manager
Phone
(773) 638-2051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

15 S Kedzie Ave
Chicago, IL 60612-2705

Mailing address

15 S Kedzie Ave
Chicago, IL 60612-2705

Other names 1

  • SULLIVAN MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1205175965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122705",
            "telephone_number": "773-638-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IARI INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ARIF",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "773-638-2051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SULLIVAN MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 31, 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.

Verify at the official NPI Registry.