Active NPI
Rafaela Munoz Ulrich, MD
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1578650230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Practice address
- 2844 N Milwaukee Avenue
Chicago, IL 60618-7401 - Phone
- (773) 252-1344
- Fax
- (773) 252-5512
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
2844 N Milwaukee Avenue
Chicago, IL 60618-7401
Mailing address
2844 N Milwaukee Avenue
Chicago, IL 60618-7401
Phone (773) 252-1344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021602210 | Other | IL | BC BS |
| 0004604376 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036043685 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578650230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2844 N MILWAUKEE AVENUE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606187401",
"telephone_number": "773-252-1344",
"fax_number": "773-252-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2844 N MILWAUKEE AVENUE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606187401",
"telephone_number": "773-252-1344",
"fax_number": "773-252-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "RAFAELA",
"middle_name": "MUNOZ",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "0021602210",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004604376",
"state": "TX"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.