Active NPI
Chicago Hamlin Family Practice Specialists LTD
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1326047788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CHICAGO HAMLIN FAMILY PRACTICE SPECIALISTS LTD
- Practice address
- 3758 W. Chicago Avenue
Chicago, IL 60651 - Phone
- (773) 235-0626
- NPI assigned
- Jul 19, 2005
- 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
- Noel E. Lasala, M.D.
- Title
- Chairman
- Phone
- (773) 235-0626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3758 W. Chicago Avenue
Chicago, IL 60651
Mailing address
520 E. 22ND Street
Lombard, IL 60148
Phone (630) 874-2542
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Warrenville, IL
- NPI 1013919893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1326047788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E. 22ND STREET",
"city": "LOMBARD",
"state": "IL",
"postal_code": "60148",
"telephone_number": "630-874-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3758 W. CHICAGO AVENUE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60651",
"telephone_number": "773-235-0626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO HAMLIN FAMILY PRACTICE SPECIALISTS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "LASALA",
"authorized_official_first_name": "NOEL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "773-235-0626",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.