NPIMap

Organization Active NPI

Chicago Rheumatology and Medical Clinic, S.C.

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1285986380
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
036129110 Issued in IL
Legal business name
CHICAGO RHEUMATOLOGY AND MEDICAL CLINIC, S.C.
Practice address
5325 W Belmont Ave
Chicago, IL 60641-4104
Phone
(773) 283-5700
Fax
(773) 283-6450
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Dorothy BloniarzNPI 1841365939
Title
M.D.
Phone
(312) 479-8760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 036129110 IL Primary

Addresses

Primary practice location

5325 W Belmont Ave
Chicago, IL 60641-4104

Mailing address

5325 W Belmont Ave
Chicago, IL 60641-4104
Phone (773) 283-5700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1285986380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414104",
            "telephone_number": "773-283-5700",
            "fax_number": "773-283-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414104",
            "telephone_number": "773-283-5700",
            "fax_number": "773-283-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO RHEUMATOLOGY AND MEDICAL CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "BLONIARZ",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "312-479-8760"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036129110",
            "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 Apr 4, 2013; 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.