Humberto Vergara MD & Associates SC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

036-072013 Issued in IL

Legal business name

HUMBERTO VERGARA MD & ASSOCIATES SC

Practice address

1431 N Western Ave
Suite 205
Chicago, IL 60622-1797

Phone

(773) 278-4811

Fax

(773) 278-5920

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Humberto Vergara, M.D.

Title

President

Phone

(773) 278-4811

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1538379516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "SUITE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221797",
            "telephone_number": "773-278-4811",
            "fax_number": "773-278-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "SUITE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221797",
            "telephone_number": "773-278-4811",
            "fax_number": "773-278-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBERTO VERGARA MD & ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-278-4811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IL",
            "license": "036-072013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariyam Humayun, MD
• Shaheen A Humayun, MD
• Wasay Humayun, M.D.
• Youshay Humayun, M.D.
• Michelle Humbert, LMSW
• Humboldt Behavioral Health Group
• Humboldt Community Dental PC (Sonrisa Family Dental)
• Humboldt Park Counseling, PLLC
• Humboldt Park Counseling, PLLC
• Humboldt Park Counseling, PLLC

• Addiction Medicine (Family Medicine) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Addiction Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.