Organization Active NPI

Encinas Medical Center

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1487058731
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
042-620315 Issued in IL
Legal business name
ENCINAS MEDICAL CENTER
Practice address
4614 S Ashland Ave
Chicago, IL 60609-3251
Phone
(773) 888-2560
Fax
(773) 345-2560
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Dr. Alvaro Encinas, M.D.NPI 1891900932
Title
Medical Director
Phone
(773) 888-2560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 042-620315 IL Primary

Addresses

Primary practice location

4614 S Ashland Ave
Chicago, IL 60609-3251

Mailing address

3926 W Touhy Ave
Suite 332
Lincolnwood, IL 60712-1028
Phone (773) 888-2560

National Provider Directory

National Provider Directory

Locations

4614 S Ashland Ave
Chicago, IL 60609
Phone (773) 888-2560

3926 W Touhy Ave
Lincolnwood, IL 60712
Phone (847) 675-7170

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1487058731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 W TOUHY AVE",
            "address_2": "SUITE 332",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121028",
            "telephone_number": "773-888-2560",
            "fax_number": "773-345-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093251",
            "telephone_number": "773-888-2560",
            "fax_number": "773-345-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINAS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "ENCINAS",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-888-2560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "042-620315",
            "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 Oct 15, 2014; 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.