Active NPI
Dr Price Medical SC
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1508752247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DR PRICE MEDICAL SC
- Practice address
- 6212 N Lincoln Ave
Suite 5
Chicago, IL 60659-2200 - Phone
- (443) 602-6260
- NPI assigned
- Jun 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shmuel Price, DO
- Title
- President and Owner
- Phone
- (443) 602-6260
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6212 N Lincoln Ave
Suite 5
Chicago, IL 60659-2200
Mailing address
2631 W Jerome St
Chicago, IL 60645-1407
Phone (443) 602-6260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208701064001 | Medicaid | IL |
Other names 1
- Radiance Laser and Beauty
National Provider Directory
National Provider DirectoryPractitioners & 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": "1750118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750118400000",
"number": "1508752247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 W JEROME ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606451407",
"telephone_number": "443-602-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6212 N LINCOLN AVE",
"address_2": "SUITE 5",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606592200",
"telephone_number": "443-602-6260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR PRICE MEDICAL SC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "SHMUEL",
"authorized_official_title_or_position": "PRESIDENT AND OWNER",
"authorized_official_telephone_number": "443-602-6260",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208701064001",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Radiance Laser and Beauty",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.