Unified Physicians Network Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

UNIFIED PHYSICIANS NETWORK INC

Practice address

5215 Old Orchard Rd
Suite 340
Skokie, IL 60077-1035

Phone

(847) 763-1700

Fax

(847) 676-6983

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jafar Shah-Mirany, M.D.

Title

President, Ceo

Phone

(847) 763-1700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306959770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 OLD ORCHARD RD",
            "address_2": "SUITE 340",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771035",
            "telephone_number": "847-763-1700",
            "fax_number": "847-676-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 OLD ORCHARD RD",
            "address_2": "SUITE 340",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771035",
            "telephone_number": "847-763-1700",
            "fax_number": "847-676-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED PHYSICIANS NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAH-MIRANY",
        "authorized_official_first_name": "JAFAR",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "847-763-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.