Villagemd Chicago

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

VILLAGEMD CHICAGO

Practice address

7447 W Talcott Ave
Suite 409
Chicago, IL 60631

Phone

(773) 763-3808

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Wendy Lee Rubas

Title

General Counsel

Phone

(312) 465-7898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1245687946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CLARK ST STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606035200",
            "telephone_number": "312-465-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 409",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60631",
            "telephone_number": "773-763-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGEMD CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "RUBAS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "312-465-7898"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Medical at Home Kentucky PSC
• Village Medical at Home North Florida PLLC
• Village Medical at Home of Michigan PC
• Village Medical at Home West Central Florida PLLC
• Village Wellness Center LLC VWC
• Maria Villagomez, MA
• Sara Ventura Villagrana
• Nicole Dayanara Villalba
• Mario Villalobos Medran, MS, RDN, LDN
• Samuel Alberto Villalobos Rivero, MD

• Health Maintenance Organization in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Maintenance Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.