NPIMap

Organization Active NPI

Elmhurst Memorial Affiliated Primary Care Physicians, LLC

  • Clinic/Center
  • Melrose Park, IL
National Provider Identifier
1275779407
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELMHURST MEMORIAL AFFILIATED PRIMARY CARE PHYSICIANS, LLC
Practice address
675 W North Ave
Suite 505
Melrose Park, IL 60160-1634
Phone
(708) 681-7640
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2008

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

Authorized official

Name
Mrs. Mary Stull
Title
Coo
Phone
(630) 758-9923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

675 W North Ave
Suite 505
Melrose Park, IL 60160-1634

Mailing address

455 N York Rd
Elmhurst, IL 60126-2003
Phone (630) 834-0400

Other names 1

  • Primary Care Assoicates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elmhurst Memorial Affiliated Primary Care Physicians LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230249600000",
    "number": "1275779407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N YORK RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262003",
            "telephone_number": "630-834-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 505",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-681-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST MEMORIAL AFFILIATED PRIMARY CARE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-26",
        "status": "A",
        "authorized_official_last_name": "STULL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "630-758-9923",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Assoicates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; 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.