Extended Care Specialist, LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EXTENDED CARE SPECIALIST, LTD

Practice address

3435 W Van Buren St
Chicago, IL 60624-3312

Phone

(773) 265-3583

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Tunji Ladipo, MDNPI 1245359025

Title

President

Phone

(773) 550-5550

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Tunji Ladipo, MD

  • General Practice Physician
  • Chicago, IL
  • NPI 1245359025
  NPD (past) Authorized official
• Joseph Cyriac, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1104846963
  NPD (past)
• Rajesh T Iyengar, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1821023714
  NPD (past)
• Matilda M Rosanwo, MD

  • Family Medicine Physician
  • Crystal Lake, IL
  • NPI 1871570978
  NPD (past)
• Amera Gaballa, MD

  • Family Medicine Physician
  • Menomonee Falls, WI
  • NPI 1356566350
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356365027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34278 EAGLE WAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781342",
            "telephone_number": "630-734-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 W VAN BUREN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606243312",
            "telephone_number": "773-265-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED CARE SPECIALIST, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LADIPO",
        "authorized_official_first_name": "TUNJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-550-5550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Express Rehabilitation, PLLC
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• Expressive Speech Therapy, PLLC
• Exquisite Care Spa and Wellness Inc.
• Exquisite Wellness Bar
• Extended Family in-Home Senior Care Inc
• Eyas Landing, Inc.
• Carl E Eybel, MD
• Katherine Eydelman, NP
• Eye Candy Optical

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.