Park View Medical Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PARK VIEW MEDICAL CENTER INC

Practice address

2040 W Devon Ave
Chicago, IL 60659-2128

Phone

(773) 875-8148

NPI assigned

Apr 12, 2021

Last updated

Apr 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amerah Shafi, PA-CNPI 1467602821

Title

President

Phone

(773) 875-8148

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amerah Shafi, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1467602821
  Authorized official Same address or phone

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1265012389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592128",
            "telephone_number": "773-875-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VIEW MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "AMERAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-875-8148",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park House
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• Park Smile Design
• Park View Rehab Center LLC (Park View Rehab Center)
• Park West Family Dentistry (Harmony Family Dental)
• Park West Family Dentistry, PC (Harmony Family Dental)
• Park West Family Physicians S C
• Alex Junwoo Park, MD

• 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 Apr 12, 2021; 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.