Organization Active NPI

Sure Work Health Clinic

  • Sports Medicine (Internal Medicine) Physician
  • Chicago, IL
National Provider Identifier
1386102903
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
Legal business name
SURE WORK HEALTH CLINIC
Practice address
6222 S Pulaski Rd
Chicago, IL 60629-4610
Phone
(312) 624-8364
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Neema Bayran, MDNPI 1780611756
Title
Ceo
Phone
(312) 593-1580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0010X Primary

Addresses

Primary practice location

6222 S Pulaski Rd
Chicago, IL 60629-4610

Mailing address

830 N Ashland Ave Apt 1N
Chicago, IL 60622-5684
Phone (312) 624-8364

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1386102903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 N ASHLAND AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225684",
            "telephone_number": "312-624-8364",
            "fax_number": "312-929-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294610",
            "telephone_number": "312-624-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE WORK HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "BAYRAN",
        "authorized_official_first_name": "NEEMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-593-1580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports 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 Mar 4, 2019; 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.