Organization Active NPI

Kuji Health Concepts, SC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1265638944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KUJI HEALTH CONCEPTS, SC
Practice address
7906 S Crandon Ave
Suite 1
Chicago, IL 60617-1146
Phone
(773) 768-5707
Fax
(773) 768-9210
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elliott McKinley Fourte, M.D.
Title
Physician
Phone
(773) 768-5707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7906 S Crandon Ave
Suite 1
Chicago, IL 60617-1146

Mailing address

7906 S Crandon Ave
Suite 1
Chicago, IL 60617-1146
Phone (773) 768-5707

National Provider Directory

National Provider Directory

Locations

7906 S Crandon Ave
Ste 1
Chicago, IL 60617
Phone (773) 734-1577

326 W 64th St
Ste 210
Chicago, IL 60621
Phone (773) 768-5707

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265638944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7906 S CRANDON AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171146",
            "telephone_number": "773-768-5707",
            "fax_number": "773-768-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7906 S CRANDON AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171146",
            "telephone_number": "773-768-5707",
            "fax_number": "773-768-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUJI HEALTH CONCEPTS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOURTE",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "MCKINLEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-768-5707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.