Organization Active NPI

SPS Family Care, S.C.

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1346423399
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036118602 Issued in IL
Legal business name
SPS FAMILY CARE, S.C.
Practice address
1810 W Chicago Ave
Chicago, IL 60622-5512
Phone
(773) 489-6100
Fax
(773) 489-6156
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Sorvein Prieto, M.D.NPI 1427231224
Title
Family Practice
Phone
(773) 619-0127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 036118602 IL Primary

Addresses

Primary practice location

1810 W Chicago Ave
Chicago, IL 60622-5512

Mailing address

750 Pearson St
507
Des Plaines, IL 60016-9211
Phone (773) 619-0127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071214000607 IL Part B Supplier - Clinic/Group Practice 8729178686 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23433/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1346423399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 PEARSON ST",
            "address_2": "507",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600169211",
            "telephone_number": "773-619-0127",
            "fax_number": "847-635-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225512",
            "telephone_number": "773-489-6100",
            "fax_number": "773-489-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPS FAMILY CARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "SORVEIN",
        "authorized_official_title_or_position": "FAMILY PRACTICE",
        "authorized_official_telephone_number": "773-619-0127",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036118602",
            "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 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.