Organization Active NPI

Greater Chicago Medical Group, S.C.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1255560470
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREATER CHICAGO MEDICAL GROUP, S.C.
Practice address
8700 S Dante Ave
Chicago, IL 60619-7118
Phone
(773) 221-3900
Fax
(847) 352-0423
NPI assigned
Jul 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Authorized official

Name
Dr. Rita P Saldanha, M.D.
Title
President
Phone
(708) 987-3795

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8700 S Dante Ave
Chicago, IL 60619-7118

Mailing address

PO Box 68726
Schaumburg, IL 60168-0726
Phone (708) 987-3795

Other identifiers 1

IdentifierTypeStateIssuer
64612247OtherILCORPORATE FILE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1255560470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68726",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601680726",
            "telephone_number": "708-987-3795",
            "fax_number": "847-352-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 S DANTE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197118",
            "telephone_number": "773-221-3900",
            "fax_number": "847-352-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CHICAGO MEDICAL GROUP, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "SALDANHA",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-987-3795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE FILE NUMBER",
            "identifier": "64612247",
            "state": "IL"
        }
    ],
    "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 Oct 10, 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.