Mayuga Medical Practice

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036075687 Issued in IL

Legal business name

MAYUGA MEDICAL PRACTICE

Practice address

2800 N Sheridan Rd
Suite303
Chicago, IL 60657-6156

Phone

(773) 281-7660

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Ruperto Mayuga, M.D.NPI 1073557740

Title

President

Phone

(773) 281-7660

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Ruperto Mayuga, M.D.

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1073557740
  NPD (past) Authorized official

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1396789053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18W 163 HOLLY AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "60561",
            "telephone_number": "847-676-0091",
            "fax_number": "847-676-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD",
            "address_2": "SUITE303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576156",
            "telephone_number": "773-281-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYUGA MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "MAYUGA",
        "authorized_official_first_name": "RUPERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-281-7660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036075687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "01605124",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075687",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Mays, LCPC
• Spencer Mays
• Tonya Mays, MSW, LCSW
• Maysoon Al Naqeeb MD SC
• Karmen D Maytum, NP
• Ruperto Mayuga, M.D.
• Valerie Visitacion Mayuga, M.D.
• Claudia Mazariegos
• Paichence Maze, LCPC
• Ajoyoi Mazerat

• Cardiovascular Disease Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.