Organization Active NPI

Compassion Family Healthcare, LLC

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1285882639
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
36.119662 Issued in IL
Legal business name
COMPASSION FAMILY HEALTHCARE, LLC
Practice address
3441 W North Ave
Chicago, IL 60647-4841
Phone
(773) 772-6418
Fax
(773) 772-7360
NPI assigned
Aug 28, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Asmamaw Kassie Beyene, MD
Title
Manager
Phone
(773) 227-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 36.119662 IL Primary

Addresses

Primary practice location

3441 W North Ave
Chicago, IL 60647-4841

Mailing address

2332 W Superior St FL 2
Chicago, IL 60612-1212
Phone (773) 227-4003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1285882639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 W SUPERIOR ST FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121212",
            "telephone_number": "773-227-4003",
            "fax_number": "773-772-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474841",
            "telephone_number": "773-772-6418",
            "fax_number": "773-772-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "BEYENE",
        "authorized_official_first_name": "ASMAMAW",
        "authorized_official_middle_name": "KASSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-227-4003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "36.119662",
            "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 28, 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.