Clinica Guadalupe PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036068407 Issued in IL

Legal business name

CLINICA GUADALUPE PC

Practice address

3511 W 26TH St
Chicago, IL 60623-3910

Phone

(773) 277-9100

Fax

(773) 277-0860

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Juan Antonio Torres-Garza, MD

Title

President

Phone

(773) 277-9100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandeep Sehgal, M.D.

  • Interventional Cardiology Physician
  • Valparaiso, IN
  • NPI 1326066218
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1336363563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233910",
            "telephone_number": "773-277-9100",
            "fax_number": "773-277-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233910",
            "telephone_number": "773-277-9100",
            "fax_number": "773-277-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA GUADALUPE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "TORRES-GARZA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-277-9100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036068407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068407",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001635727",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynnsey Cline, LCSW
• Stacey Ann Cline, DC
• Caroline Clingan
• Clinic 1, LLC
• Clinic of Chicago Professionals P C
• Clinica Urgent Care Inc
• Clinical Assist, LTD. (Black Bear Academy)
• Clinical Cardiology Group, LTD.
• Clinical Expressions
• Clinical Forensic Services PLLC

• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.