Chicago Uptown Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036103665 Issued in IL

Legal business name

CHICAGO UPTOWN MEDICAL CENTER

Practice address

4906 N Western Ave
Suite 1
Chicago, IL 60625

Phone

(773) 506-7340

Fax

(773) 506-7341

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lejla M. Sunje, MBA

Title

Office Manager

Phone

(773) 506-7340

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danish Haque, MD

  • Emergency Medicine Physician
  • Barrington, IL
  • NPI 1336193093
  Medicare reassignment Care Compare group NPD
• Mensur O. Sunje, M.D. M.SC.

  • Phlebology Physician
  • Chicago, IL
  • NPI 1013954999

  IN

  Medicare reassignment Care Compare group
• Virgilio A Caramay, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1508332552
  Medicare reassignment NPD
• Arielle Port, MD

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1295154177
  Medicare reassignment NPD
• Cecilia Lee, P.A.

  • Medical Physician Assistant
  • Des Plaines, IL
  • NPI 1487823035
  Medicare reassignment

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1255427704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 W IRVING PARK RD STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183838",
            "telephone_number": "773-506-7340",
            "fax_number": "773-506-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 N WESTERN AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-506-7340",
            "fax_number": "773-506-7341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6050 Sterling Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463687752",
            "country_code": "US",
            "telephone_number": "219-212-0188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHICAGO UPTOWN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "SUNJE",
        "authorized_official_first_name": "LEJLA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-506-7340",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036103665",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036103665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.