Active NPI
My Doc S.C.
- Primary Care Clinic/Center
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 036094011
- Legal business name
- MY DOC S.C.
- Practice address
- 2403 S Oakley Ave
Chicago, IL 60608 - Phone
- (773) 376-0160
- Fax
- (773) 376-0350
- NPI assigned
- Jun 8, 2007
- 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
- Lillian Foca-Munoz, M.D.
- Title
- Owner
- Phone
- (773) 376-0160
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 036094011 | IL | Primary |
Addresses
Primary practice location
2403 S Oakley Ave
Chicago, IL 60608
Mailing address
2403 S Oakley Ave
Chicago, IL 60608-4901
Phone (773) 376-0160
Other practice location 1
2315 W Belmont Ave
Chicago, IL 60618-6422
Phone (773) 325-0811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1070060 | My Doc S C - Lillian Foca-Munoz | Certificate of waiver | Jun 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
2403 S Oakley Ave
Chicago, IL 60608
Phone (773) 376-0160
2315 W Belmont Ave
Chicago, IL 60618
Phone (773) 325-0811
Practitioners & affiliated clinicians
Practitioners 1
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": "1181260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544745600000",
"number": "1376746198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 S OAKLEY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606084901",
"telephone_number": "773-376-0160",
"fax_number": "773-376-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 S OAKLEY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60608",
"telephone_number": "773-376-0160",
"fax_number": "773-376-0350"
}
],
"practiceLocations": [
{
"address_1": "2315 W Belmont Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606186422",
"country_code": "US",
"telephone_number": "773-325-0811",
"fax_number": "773-348-6531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MY DOC S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-08",
"last_updated": "2018-12-14",
"status": "A",
"authorized_official_last_name": "FOCA-MUNOZ",
"authorized_official_first_name": "LILLIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-376-0160",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IL",
"license": "036094011",
"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 Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.