NPIMap

Organization Active NPI

Chicago Medical and Surgical Center

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1467655233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHICAGO MEDICAL AND SURGICAL CENTER
Practice address
3736 W 26TH St
Chicago, IL 60623-3826
Phone
(773) 277-1100
Fax
(773) 277-1166
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marie Fe Tan
Title
Manager
Phone
(773) 277-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3736 W 26TH St
Chicago, IL 60623-3826

Mailing address

3736 W 26TH St
Chicago, IL 60623-3826
Phone (773) 277-1100

National Provider Directory

National Provider Directory

Locations

3736 W 26th St
Chicago, IL 60623
Phone (773) 277-1100

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467655233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233826",
            "telephone_number": "773-277-1100",
            "fax_number": "773-277-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233826",
            "telephone_number": "773-277-1100",
            "fax_number": "773-277-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO MEDICAL AND SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "FE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-277-1100"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Aug 22, 2020; 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.