Organization Active NPI

Physician Care Partners, Inc.

  • Health Maintenance Organization
  • Hillside, IL
National Provider Identifier
1396025664
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
PHYSICIAN CARE PARTNERS, INC.
Practice address
4415 Harrison St
Suite 300
Hillside, IL 60162-1910
Phone
(708) 432-4047
Fax
(708) 432-0158
NPI assigned
Aug 18, 2011
Last updated
Aug 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Mr. Michael S. Schaik
Title
Vice President
Phone
(708) 432-4047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU Primary

Addresses

Primary practice location

4415 Harrison St
Suite 300
Hillside, IL 60162-1910

Mailing address

4415 Harrison St
Suite 300
Hillside, IL 60162-1910
Phone (708) 432-4047

National Provider Directory

National Provider Directory

Locations

4415 Harrison St
Ste 300
Hillside, IL 60162
Phone (708) 432-4047

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1396025664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 HARRISON ST",
            "address_2": "SUITE 300",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621910",
            "telephone_number": "708-432-4047",
            "fax_number": "708-432-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 HARRISON ST",
            "address_2": "SUITE 300",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621910",
            "telephone_number": "708-432-4047",
            "fax_number": "708-432-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN CARE PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "SCHAIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-432-4047",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.