Organization Active NPI

Sage Medical Group SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1437256708
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAGE MEDICAL GROUP SC
Practice address
5425 W Lawrence Ave
Chicago, IL 60630-3404
Phone
(773) 725-7557
Fax
(773) 794-0138
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mrs. Cheryl Musil
Title
Practice Admnistrator
Phone
(773) 549-7757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

5425 W Lawrence Ave
Chicago, IL 60630-3404

Mailing address

5425 W Lawrence Ave
Chicago, IL 60630-3404
Phone (773) 725-7557

National Provider Directory

National Provider Directory

Locations

5425 W Lawrence Ave
Chicago, IL 60630
Phone (773) 725-7557

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1437256708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303404",
            "telephone_number": "773-725-7557",
            "fax_number": "773-794-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303404",
            "telephone_number": "773-725-7557",
            "fax_number": "773-794-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MEDICAL GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "MUSIL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRACTICE ADMNISTRATOR",
        "authorized_official_telephone_number": "773-549-7757",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "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 Nov 1, 2007; 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.