Organization Active NPI

Javette C Orgain MD SC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1407083447
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Oct 25, 2013

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.