Greater Chicago Medical Association, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

GREATER CHICAGO MEDICAL ASSOCIATION, INC

Practice address

4108 N Lincoln Ave
Chicago, IL 60618-3028

Phone

(773) 271-5000

Fax

(773) 784-6700

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Jordan Zureikat, M.D.

Title

President

Phone

(773) 271-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Greater Chicago Medical Association Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greater Chicago Medical Association Inc

  • Exclusive Provider Organization
  • Chicago, IL
  • NPI 1477960979
  NPD tax ID

Locations

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1396900106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183028",
            "telephone_number": "773-271-5000",
            "fax_number": "773-784-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183028",
            "telephone_number": "773-271-5000",
            "fax_number": "773-784-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CHICAGO MEDICAL ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "ZUREIKAT",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-271-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150094",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Paragon Health Care Inc.
• Greater Chicago Anesthesia LLC
• Greater Chicago Counseling Center
• Greater Chicago Dental Associates, Inc.
• Greater Chicago Medical Association Inc
• Greater Chicago Medical Group, S.C.
• Greater Lawn Mental Health Center
• Greatest Love Home Care Inc.
• Alexis Greathouse
• Tori Gianna Greaves, MD

• Exclusive Provider Organization in Chicago, IL
• Providers in Chicago, IL by specialty
• Exclusive Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.