Active NPI
Prima Medicus LLC
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1356609598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMA MEDICUS LLC
- Practice address
- 6007 N Sheridan Rd Apt 15K
Chicago, IL 60660-3063 - Phone
- (773) 800-1771
- Fax
- (888) 359-3421
- NPI assigned
- Apr 25, 2012
- 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
- Dr. Ernesto V Estor Jr., M.D.
- Title
- President
- Phone
- (773) 800-1771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6007 N Sheridan Rd Apt 15K
Chicago, IL 60660-3063
Mailing address
6007 N Sheridan Rd Apt 15K
Chicago, IL 60660-3063
Phone (773) 800-1771
National Provider Directory
National Provider DirectoryLocations
3900 W Madison St
Ste 13
Chicago, IL 60624
Phone (773) 533-3440
3525 W Peterson Ave
Ste 612
Chicago, IL 60659
Phone (773) 293-6671
Practitioners & 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
- Chicago, IL
- NPI 1750441465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335312000000",
"number": "1356609598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6007 N SHERIDAN RD APT 15K",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606603063",
"telephone_number": "773-800-1771",
"fax_number": "888-359-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6007 N SHERIDAN RD APT 15K",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606603063",
"telephone_number": "773-800-1771",
"fax_number": "888-359-3421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMA MEDICUS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A",
"authorized_official_last_name": "ESTOR",
"authorized_official_first_name": "ERNESTO",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-800-1771",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"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": []
}
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 Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.