Organization Active NPI

Sure Work Health Clinic LTD

  • Sports Medicine (Internal Medicine) Physician
  • Chicago, IL
National Provider Identifier
1275195059
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
Legal business name
SURE WORK HEALTH CLINIC LTD
Practice address
830 N Ashland Ave
Chicago, IL 60622-5684
Phone
(312) 624-8364
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Dr. Neema Bayran, MD
Title
Ceo
Phone
(312) 624-8364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0010X Primary

Addresses

Primary practice location

830 N Ashland Ave
Chicago, IL 60622-5684

Mailing address

830 N Ashland Ave
Chicago, IL 60622-5684
Phone (312) 624-8364

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1275195059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225684",
            "telephone_number": "312-624-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225684",
            "telephone_number": "312-624-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE WORK HEALTH CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "BAYRAN",
        "authorized_official_first_name": "NEEMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-624-8364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports 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 Jul 2, 2019; 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.