NPIMap

Organization Active NPI

Citi Physicians

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1295023778
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036114331 Issued in IL
Legal business name
CITI PHYSICIANS
Practice address
6832 W North Ave
Chicago, IL 60707-4430
Phone
(773) 889-3341
Fax
(773) 889-3342
NPI assigned
Jul 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Ms. Nelissa Nash
Title
Administrator
Phone
(773) 889-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036114331 IL Primary

Addresses

Primary practice location

6832 W North Ave
Chicago, IL 60707-4430

Mailing address

6832 W North Ave
Chicago, IL 60707-4430
Phone (773) 889-3341

National Provider Directory

National Provider Directory

Locations

6832 W North Ave
Ste 3A
Chicago, IL 60707
Phone (312) 893-7119

6832 W North Ave
Chicago, IL 60707
Phone (773) 458-4711

Practitioners & affiliated clinicians

Practitioners 2

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": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1295023778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607074430",
            "telephone_number": "773-889-3341",
            "fax_number": "773-889-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607074430",
            "telephone_number": "773-889-3341",
            "fax_number": "773-889-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITI PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "NELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-889-3341",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036114331",
            "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 Jun 29, 2012; 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.