Boycin Medical Clinic LTD.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036085291 Issued in IL

Legal business name

BOYCIN MEDICAL CLINIC LTD.

Practice address

5219 W Madison St
1St Floor
Chicago, IL 60644-4152

Phone

(773) 378-4823

Fax

(773) 378-9401

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ndudi C Aniemeka, MDNPI 1255447421

Title

Properitor

Phone

(773) 378-4823

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Ndudi Christopher Aniemeka, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1255447421
  Medicare reassignment NPD Authorized official
• Sumbol Khan, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1174820799
  NPD (past)
• Debbie Tyler, NP

  • Adult Health Nurse Practitioner
  • Chicago, IL
  • NPI 1689904484
  NPD (past)
• Ying Gu, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1215193487
  NPD (past)

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1386976959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444152",
            "telephone_number": "773-378-4823",
            "fax_number": "773-378-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 W MADISON ST",
            "address_2": "1ST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444152",
            "telephone_number": "773-378-4823",
            "fax_number": "773-378-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYCIN MEDICAL CLINIC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "ANIEMEKA",
        "authorized_official_first_name": "NDUDI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROPERITOR",
        "authorized_official_telephone_number": "773-378-4823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036126142",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036085291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085291",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Boyas, MSW, LCSW
• Anabel Marie Boyce, MSED
• Bianca Boyce
• Justin Bennett Boyce, D.C.
• Pamela JM Boyce, OD
• Alexandria Chanel Boyd
• Carletta Yvonne Boyd, OD
• Chermese Boyd
• Christina Marie Boyd, MA, LMFT
• Crystal Boyd

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.

Verify at the official NPI Registry.