Organization Active NPI

Zachris Medical Corporation

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1588084099
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036114214 Issued in IL
Legal business name
ZACHRIS MEDICAL CORPORATION
Practice address
10211 S. Hoyne Avenue
Chicago, IL 60643
Phone
(773) 425-4260
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Michele Everett
Title
Partner
Phone
(773) 425-4260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 036114214 IL Primary

Addresses

Primary practice location

10211 S. Hoyne Avenue
Chicago, IL 60643

Mailing address

10211 S Hoyne Ave
Chicago, IL 60643-2030
Phone (773) 425-4260

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1588084099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 S HOYNE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432030",
            "telephone_number": "773-425-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 S. HOYNE AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60643",
            "telephone_number": "773-425-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHRIS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "773-425-4260",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036114214",
            "primary": true
        }
    ],
    "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 Apr 23, 2014; 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.