Active NPI
Primecare Family Physicians, LTD
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1639204472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMECARE FAMILY PHYSICIANS, LTD
- Practice address
- 7400 W Addison St
Chicago, IL 60634-3418 - Phone
- (773) 625-1900
- Fax
- (773) 625-5348
- NPI assigned
- Feb 22, 2007
- Last updated
- Nov 27, 2007
- 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. Peter Anthony Calabrese, D.O.
- Title
- Presidient
- Phone
- (773) 625-1900
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
7400 W Addison St
Chicago, IL 60634-3418
Mailing address
7400 W Addison St
Chicago, IL 60634-3418
Phone (773) 625-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN4562 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1891766275
-
- Family Nurse Practitioner
- Aurora, IL
- NPI 1487100632
-
- Family Medicine Physician
- Chicago, IL
- NPI 1801258868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196121600000",
"number": "1639204472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 W ADDISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606343418",
"telephone_number": "773-625-1900",
"fax_number": "773-625-5348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 W ADDISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606343418",
"telephone_number": "773-625-1900",
"fax_number": "773-625-5348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMECARE FAMILY PHYSICIANS, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2007-11-27",
"status": "A",
"authorized_official_last_name": "CALABRESE",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDIENT",
"authorized_official_telephone_number": "773-625-1900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN4562",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Primecare Community Health, Inc. (PrimeCare Fullerton)
- Primecare Dental LLC
- Primecare Diagnostics Imaging Group, Inc.
- Primecare Diagnostics Inc
- Primecare Diagnostics LLC
- Primecare Home Health Inc.
- Primecare Medical Associates (Englewood Immediate Care)
- Primecare Medical Associates, Inc (Englewood Immediate Care)
- Primecare Medicar Servives Inc.
- Primecare Nephrology & Hypertension SC Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.