Active NPI
Javette C Orgain MD SC
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1407083447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JAVETTE C ORGAIN MD SC
- Practice address
- 9933 S Western Ave
Emb - Suite 103
Chicago, IL 60643-1810 - Phone
- (312) 833-1077
- Fax
- (877) 825-1491
- NPI assigned
- Jun 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Javette C Orgain, MD
- Title
- President/Ceo
- Phone
- (312) 833-1077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
9933 S Western Ave
Emb - Suite 103
Chicago, IL 60643-1810
Mailing address
PO Box 806527
Chicago, IL 60680-4126
Phone (312) 833-1077
National Provider Directory
National Provider DirectoryLocations
9933 S Western Ave
Ste 103
Chicago, IL 60643
Phone (312) 833-1077
8541 S State St
Ste 6
Chicago, IL 60619
Phone (773) 488-2200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1679523716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382659200000",
"number": "1407083447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 806527",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606804126",
"telephone_number": "312-833-1077",
"fax_number": "877-825-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9933 S WESTERN AVE",
"address_2": "EMB - SUITE 103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606431810",
"telephone_number": "312-833-1077",
"fax_number": "877-825-1491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAVETTE C ORGAIN MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-17",
"last_updated": "2013-10-25",
"status": "A",
"authorized_official_last_name": "ORGAIN",
"authorized_official_first_name": "JAVETTE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "312-833-1077",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family 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 Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.