Active NPI
Sage Medical Group SC
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1437256708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.