Organization Active NPI

Antillas South Medical Center, Inc

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1346304003
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ANTILLAS SOUTH MEDICAL CENTER, INC
Practice address
5159 S Damen Ave
Chicago, IL 60609-5631
Phone
(773) 776-7800
Fax
(773) 776-1119
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Lee Burstein
Title
Chief Administrative Officer
Phone
(773) 394-5260

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X IL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X IL
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X IL Primary

Addresses

Primary practice location

5159 S Damen Ave
Chicago, IL 60609-5631

Mailing address

3111 W Armitage Ave
Chicago, IL 60647-3818
Phone (773) 394-5260

National Provider Directory

National Provider Directory

Locations

3111 W Armitage Ave
Chicago, IL 60647
Phone (773) 342-8493

5159 S Damen Ave
Chicago, IL 60609
Phone (773) 776-7800

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1346304003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W ARMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473818",
            "telephone_number": "773-394-5260",
            "fax_number": "773-394-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5159 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606095631",
            "telephone_number": "773-776-7800",
            "fax_number": "773-776-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTILLAS SOUTH MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BURSTEIN",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "773-394-5260"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "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 Sep 11, 2025; 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.