Organization Active NPI

M D Total Care PC

  • General Practice Physician
  • Chicago, IL
National Provider Identifier
1497008981
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
M D TOTAL CARE PC
Practice address
5318 W Devon Ave
Chicago, IL 60646-4108
Phone
(847) 731-9663
Fax
(847) 731-9664
NPI assigned
Oct 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Brian Murray, MD
Title
President
Phone
(847) 731-9663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

5318 W Devon Ave
Chicago, IL 60646-4108

Mailing address

5318 W Devon Ave
Chicago, IL 60646-4108
Phone (773) 303-7711

National Provider Directory

National Provider Directory

Locations

2504 Washington St
Ste 603
Waukegan, IL 60085
Phone (847) 662-0455

NPI Registry JSON

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

{
    "created_epoch": "1350691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1497008981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464108",
            "telephone_number": "773-303-7711",
            "fax_number": "847-731-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464108",
            "telephone_number": "847-731-9663",
            "fax_number": "847-731-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M D TOTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-20",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-731-9663",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 7, 2022; 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.