Organization Active NPI

Amg Med SC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1376735779
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMG MED SC
Practice address
850 W Irving Park Rd
Chicago, IL 60613-3077
Phone
(773) 975-6822
Fax
(773) 524-7480
NPI assigned
Aug 10, 2007
Organization subpart
No

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

135 S La Salle St
#4720
Chicago, IL 60603
Phone (773) 878-8700

301 S County Farm Rd
Wheaton, IL 60187
Phone (630) 588-0055

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Dr. Aaron Greenspan, M.D.
Title
Medical Director
Phone
(773) 975-6822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

850 W Irving Park Rd
Chicago, IL 60613-3077

Mailing address

PO Box 5979
Buffalo Grove, IL 60089-5979
Phone (847) 897-5995

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1376735779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5979",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600895979",
            "telephone_number": "847-897-5995",
            "fax_number": "847-897-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133077",
            "telephone_number": "773-975-6822",
            "fax_number": "773-524-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMG MED SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "GREENSPAN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-975-6822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Aug 10, 2007; 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.