Active NPI
Prime Medical Associates LTD
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 042618262
- Legal business name
- PRIME MEDICAL ASSOCIATES LTD
- Practice address
- 3414 W Peterson
Suite a
Chicago, IL 60659 - Phone
- (773) 478-1777
- Fax
- (773) 478-1964
- NPI assigned
- May 15, 2007
- Last updated
- Jul 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jong L Jin, MD
- Title
- President
- Phone
- (773) 478-1777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 042618262 | IL | Primary |
Addresses
Primary practice location
3414 W Peterson
Suite a
Chicago, IL 60659
Mailing address
3414 W Peterson
Suite a
Chicago, IL 60659
Phone (773) 478-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3414 W Peterson Ave
Ste A
Chicago, IL 60659
Phone (312) 478-1777
66 W Oak St
Chicago, IL 60610
Phone (312) 337-5400
Practitioners & affiliated clinicians
Practitioners 6
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.
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- Family Medicine Physician
- Chicago, IL
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- NPI 1821096785
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- Family Medicine Physician
- Chicago, IL
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752451200000",
"number": "1306052675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 W PETERSON",
"address_2": "SUITE A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60659",
"telephone_number": "773-478-1777",
"fax_number": "773-478-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 W PETERSON",
"address_2": "SUITE A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60659",
"telephone_number": "773-478-1777",
"fax_number": "773-478-1964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME MEDICAL ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A",
"authorized_official_last_name": "JIN",
"authorized_official_first_name": "JONG",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-478-1777",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "042618262",
"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 Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.