Park Medical & Surgical Plaza

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

PARK MEDICAL & SURGICAL PLAZA

Practice address

2621 N Halsted St
Chicago, IL 60614-2301

Phone

(773) 477-3670

Fax

(773) 871-1644

NPI assigned

Nov 14, 2006

Last updated

Sep 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lee R Stein, DPM

Title

President

Phone

(773) 477-3670

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1457423683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142301",
            "telephone_number": "773-477-3670",
            "fax_number": "773-871-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142301",
            "telephone_number": "773-477-3670",
            "fax_number": "773-871-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MEDICAL & SURGICAL PLAZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-477-3670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park & Wells LLC
• Park Bench Psychotherapy, Inc.
• Park Dental Studios, LLC
• Park House
• Park House Nursing and Rehabilitation Center LLC
• Park Ridge Orthopedic Surgeons,S.C.
• Park Smile Design
• Park View Medical Center Inc
• Park View Rehab Center LLC (Park View Rehab Center)
• Park West Family Dentistry (Harmony Family Dental)

• Podiatric Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatric Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.