Organization Active NPI

International Medical Associates,SC

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1285754879
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
INTERNATIONAL MEDICAL ASSOCIATES,SC
Practice address
2551 N Milwaukee Ave
Chicago, IL 60647-2629
Phone
(773) 278-7024
Fax
(773) 278-6948
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Dr. Gonzalo Ruiz, M.D.
Title
President
Phone
(773) 278-7024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

2551 N Milwaukee Ave
Chicago, IL 60647-2629

Mailing address

2551 N Milwaukee Ave
Chicago, IL 60647-2629
Phone (773) 278-7024

National Provider Directory

National Provider Directory

Locations

2359 N California Ave
Chicago, IL 60647
Phone (773) 278-7024

3454 N Lincoln Ave
Chicago, IL 60657
Phone (773) 472-1571

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8912/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1285754879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472629",
            "telephone_number": "773-278-7024",
            "fax_number": "773-278-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472629",
            "telephone_number": "773-278-7024",
            "fax_number": "773-278-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL MEDICAL ASSOCIATES,SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-278-7024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "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 Nov 6, 2014; 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.