Illinois Visiting Doctors

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ILLINOIS VISITING DOCTORS

Practice address

6853 S Halsted St
Chicago, IL 60621-1868

Phone

(773) 873-7800

Fax

(773) 873-7888

NPI assigned

Dec 23, 2013

Last updated

Dec 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bernadette Ramirez

Title

President

Phone

(773) 873-7800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1366863078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6853 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211868",
            "telephone_number": "773-873-7800",
            "fax_number": "773-873-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6853 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211868",
            "telephone_number": "773-873-7800",
            "fax_number": "773-873-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS VISITING DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-873-7800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 23, 2013; 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.