Organization Active NPI

Primecare Family Physicians, LTD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1639204472
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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.NPI 1891766275
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CN4562OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070321000241 IL Part B Supplier - Clinic/Group Practice 9335242866 Receives reassigned benefits from 3 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.