Organization Active NPI

Roscoe Integrated Medicine LTD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1376909267
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROSCOE INTEGRATED MEDICINE LTD
Practice address
2151 W Roscoe St Ste 1E
Chicago, IL 60618-6267
Phone
(773) 472-1600
Fax
(773) 472-1611
NPI assigned
Jan 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Dr. Michael J Karl, D.C.NPI 1841358447
Title
President
Phone
(773) 472-1600

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2151 W Roscoe St Ste 1E
Chicago, IL 60618-6267

Mailing address

2151 W Roscoe St Ste 1E
Chicago, IL 60618-6267
Phone (773) 472-1600

National Provider Directory

National Provider Directory

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": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1376909267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 W ROSCOE ST STE 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186267",
            "telephone_number": "773-472-1600",
            "fax_number": "773-472-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 W ROSCOE ST STE 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186267",
            "telephone_number": "773-472-1600",
            "fax_number": "773-472-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSCOE INTEGRATED MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "KARL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-472-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-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 Aug 26, 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.