Active NPI
Conrad May M.D. LTD
- Health Maintenance Organization
- Chicago, IL
National Provider Identifier
1649463175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 207QA0505X
- Legal business name
- CONRAD MAY M.D. LTD
- Practice address
- 3857 W Washington Blvd
Chicago, IL 60624-2342 - Phone
- (773) 533-1417
- Fax
- (773) 533-7348
- NPI assigned
- Aug 17, 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. Conrad May, M.D.
- Title
- Doctor
- Phone
- (773) 533-1417
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 207QA0505X | IL | Primary |
Addresses
Primary practice location
3857 W Washington Blvd
Chicago, IL 60624-2342
Mailing address
3857 W Washington Blvd
Chicago, IL 60624-2342
Phone (773) 533-1417
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D12107 | Other | IL | UPIN |
| 21600463 | Other | IL | BCBS |
| 03638263 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1649463175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3857 W WASHINGTON BLVD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606242342",
"telephone_number": "773-533-1417",
"fax_number": "773-533-7348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3857 W WASHINGTON BLVD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606242342",
"telephone_number": "773-533-1417",
"fax_number": "773-533-7348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONRAD MAY M.D. LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-17",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "MAY",
"authorized_official_first_name": "CONRAD",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "773-533-1417",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "IL",
"license": "207QA0505X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "D12107",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "21600463",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03638263",
"state": "IL"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.