Dr. Joseph'S Medical Services S.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DR. JOSEPH'S MEDICAL SERVICES S.C.

Practice address

5857 S Archer Ave Unit B
Chicago, IL 60638-1619

Phone

(708) 496-8400

Fax

(708) 496-8416

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jozef Rzucidlo, M.D.NPI 1194829408

Title

Owner

Phone

(708) 496-8400

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: jrzucidlo276219@direct.myadvocateaurora.org
• FHIR API: https://fhir4.healow.com/fhir/r4/EDGIAA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jozef J Rzucidlo, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1194829408
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1457528291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5857 S ARCHER AVE UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381619",
            "telephone_number": "708-496-8400",
            "fax_number": "708-496-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5857 S ARCHER AVE UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381619",
            "telephone_number": "708-496-8400",
            "fax_number": "708-496-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOSEPH'S MEDICAL SERVICES S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2021-12-07",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "RZUCIDLO",
        "authorized_official_first_name": "JOZEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-496-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrzucidlo276219@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5857 S Archer Ave Unit B",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606381619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5857 S Archer Ave Unit B",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606381619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.