Organization Active NPI

Rosita S. Hernandez SC

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1316129638
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ROSITA S. HERNANDEZ SC
Practice address
6853 S Halsted St
Chicago, IL 60621-1868
Phone
(773) 873-7800
Fax
(773) 873-7800
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Dr. Rosita S. Hernandez, M.D.
Title
President
Phone
(773) 873-7800

Specialties & licenses 1

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

Addresses

Primary practice location

6853 S Halsted St
Chicago, IL 60621-1868

Mailing address

6853 S Halsted St
Chicago, IL 60621-1868
Phone (773) 873-7800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1316129638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6853 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211868",
            "telephone_number": "773-873-7800",
            "fax_number": "773-873-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6853 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211868",
            "telephone_number": "773-873-7800",
            "fax_number": "773-873-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSITA S. HERNANDEZ SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ROSITA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-873-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 8, 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.