NPIMap

Organization Active NPI

University of Chicago Physicians Group

  • Multi-Specialty Clinic/Center
  • Burr Ridge, IL
National Provider Identifier
1487990156
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
209009409 Issued in IL
Legal business name
UNIVERSITY OF CHICAGO PHYSICIANS GROUP
Practice address
180 Harvester Dr
Suite 110
Burr Ridge, IL 60527-7594
Phone
(773) 795-3456
NPI assigned
Dec 27, 2012
Last updated
Dec 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Mrs. Sara Saathoff
Title
Chief HR Officer
Phone
(773) 795-3456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 209009409 IL Primary

Addresses

Primary practice location

180 Harvester Dr
Suite 110
Burr Ridge, IL 60527-7594

Mailing address

11751 S Ewing Ave
Chicago, IL 60617-7300
Phone (773) 646-9864

National Provider Directory

National Provider Directory
Tax ID family
Vandana Kulkarni MD11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1487990156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 S EWING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606177300",
            "telephone_number": "773-646-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 HARVESTER DR",
            "address_2": "SUITE 110",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277594",
            "telephone_number": "773-795-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CHICAGO PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "SAATHOFF",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CHIEF HR OFFICER",
        "authorized_official_telephone_number": "773-795-3456",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "209009409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.