Active NPI
Associates in Primary Care, SC
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1598004285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036067164
- Legal business name
- ASSOCIATES IN PRIMARY CARE, SC
- Practice address
- 10719 S Western Ave
Chicago, IL 60643-3135 - Phone
- (773) 941-5156
- Fax
- (708) 229-1611
- NPI assigned
- Jan 31, 2013
- 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
- Cedric L Coleman, MD
- Title
- President
- Phone
- (773) 941-5156
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036067164 | IL | Primary |
Addresses
Primary practice location
10719 S Western Ave
Chicago, IL 60643-3135
Mailing address
10719 S Western Ave
Chicago, IL 60643-3135
Phone (773) 941-5156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036067164 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
9415 S Western Ave
Ste 209
Chicago, IL 60643
Phone (708) 229-1600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1598004285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10719 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606433135",
"telephone_number": "773-941-5156",
"fax_number": "708-229-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10719 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606433135",
"telephone_number": "773-941-5156",
"fax_number": "708-229-1611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES IN PRIMARY CARE, SC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-31",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "CEDRIC",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-941-5156",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036067164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036067164",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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- Association for Multicultural Behavioral Health, LLC
- Association for Womens Healthcare, LTD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.