Organization Active NPI

Conrad May M.D. LTD

  • Health Maintenance Organization
  • Chicago, IL
National Provider Identifier
1649463175
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
207QA0505X Issued in IL
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D12107OtherILUPIN
21600463OtherILBCBS
03638263MedicaidIL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.