Organization Active NPI

Community Pathology Associates, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Chicago, IL
National Provider Identifier
1316192248
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
COMMUNITY PATHOLOGY ASSOCIATES, LLC
Practice address
2701 W 68TH St
Chicago, IL 60629-1813
Phone
(877) 852-4669
NPI assigned
Nov 19, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Adil Zarif, M.D.
Title
President
Phone
(773) 884-4632

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X IL Primary

Addresses

NPPES NPI Registry

Primary practice location

2701 W 68TH St
Chicago, IL 60629-1813

Mailing address

PO Box 5957
Carol Stream, IL 60197-5957
Phone (877) 852-4669

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1629042OtherILBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2012.

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1316192248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5957",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975957",
            "telephone_number": "877-852-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W 68TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291813",
            "telephone_number": "877-852-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PATHOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "ZARIF",
        "authorized_official_first_name": "ADIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-884-4632",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1629042",
            "state": "IL"
        }
    ],
    "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 Mar 7, 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.